Healthcare Provider Details

I. General information

NPI: 1992202816
Provider Name (Legal Business Name): MINOTI VATHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2018
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 EAST 34TH STREET
NEW YORK NY
10016
US

IV. Provider business mailing address

403 E 34TH ST
NEW YORK NY
10016-4972
US

V. Phone/Fax

Practice location:
  • Phone: 646-929-7970
  • Fax:
Mailing address:
  • Phone: 212-263-5940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080T0004X
TaxonomyPediatric Transplant Hepatology Physician
License Number311412
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: