Healthcare Provider Details

I. General information

NPI: 1801681283
Provider Name (Legal Business Name): NISHAN DHUNGEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 W 30TH ST FL 9
NEW YORK NY
10001-4406
US

IV. Provider business mailing address

7 W 30TH ST FL 9
NEW YORK NY
10001-4406
US

V. Phone/Fax

Practice location:
  • Phone: 212-725-7850
  • Fax:
Mailing address:
  • Phone: 212-725-7850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: