Healthcare Provider Details

I. General information

NPI: 1376319319
Provider Name (Legal Business Name): SOMA VAJPAYEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 HARWOOD CT STE 409
SCARSDALE NY
10583-4120
US

IV. Provider business mailing address

155 OLD ARMY RD
SCARSDALE NY
10583-2645
US

V. Phone/Fax

Practice location:
  • Phone: 914-723-3281
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberP125798
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: