Individual
MRS. NITI PRAVEEN MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
285 MIDDLE COUNTRY RD, SMITHTOWN, NY 11787-2978
(631) 509-0390
Mailing address
49 EASTWOOD BLVD, CENTEREACH, NY 11720-2734
(516) 996-5691
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
017341-1
NY
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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