Healthcare Provider Details

I. General information

NPI: 1245159698
Provider Name (Legal Business Name): SHEETAL PATHAK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 GUION PL
NEW ROCHELLE NY
10801-5502
US

IV. Provider business mailing address

48 BURLING LN APT 513
NEW ROCHELLE NY
10801-5660
US

V. Phone/Fax

Practice location:
  • Phone: 914-632-5000
  • Fax:
Mailing address:
  • Phone: 914-451-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: