Individual
MONICA HARGOVIND MIRCHANDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3773
Mailing address
65 LUDWIG LN, STATEN ISLAND, NY 10303-2110
(646) 645-2562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
235811
NY
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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