Healthcare Provider Details

I. General information

NPI: 1114804812
Provider Name (Legal Business Name): ESHIKA GARG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 FRANKLIN AVE STE 301
GARDEN CITY NY
11530-5942
US

IV. Provider business mailing address

153 BROADWAY
HICKSVILLE NY
11801-4297
US

V. Phone/Fax

Practice location:
  • Phone: 516-740-1950
  • Fax:
Mailing address:
  • Phone: 516-369-0836
  • 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: