Individual
SONAL BHUNGALIA KHICHADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
300 CORPORATE BLVD S, YONKERS, NY 10701-6862
(914) 294-6223
Mailing address
471 LAKE AVE, GREENWICH, CT 06830-3830
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381686-1
NY
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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