Healthcare Provider Details

I. General information

NPI: 1629411715
Provider Name (Legal Business Name): NEHA J GADARIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 08/09/2021
Certification Date: 08/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 E 41ST ST FL 4
NEW YORK NY
10017-6739
US

IV. Provider business mailing address

222 E 41ST ST FL 4
NEW YORK NY
10017-6739
US

V. Phone/Fax

Practice location:
  • Phone: 771-827-0886
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number302635
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: