Healthcare Provider Details

I. General information

NPI: 1689147738
Provider Name (Legal Business Name): RIDHIMA OHRI NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2019
Last Update Date: 01/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 CLASSON AVE
BROOKLYN NY
11238-6102
US

IV. Provider business mailing address

80 STOCKHOLM ST
BROOKLYN NY
11221-3202
US

V. Phone/Fax

Practice location:
  • Phone: 718-230-5100
  • Fax:
Mailing address:
  • Phone: 732-715-0230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: