Healthcare Provider Details

I. General information

NPI: 1598127599
Provider Name (Legal Business Name): JENNY BETH VACHHANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 SPRING ST FL 2
NEW YORK NY
10012-3858
US

IV. Provider business mailing address

135 SPRING ST FL 2
NEW YORK NY
10012-3858
US

V. Phone/Fax

Practice location:
  • Phone: 212-219-1187
  • Fax: 212-219-1538
Mailing address:
  • Phone: 212-219-1187
  • Fax: 212-219-1538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number302285
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: