Healthcare Provider Details

I. General information

NPI: 1124083209
Provider Name (Legal Business Name): NEETI DUREJA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 KIMBALL AVE
YONKERS NY
10704-3032
US

IV. Provider business mailing address

337 KIMBALL AVE
YONKERS NY
10704-3032
US

V. Phone/Fax

Practice location:
  • Phone: 203-856-8550
  • Fax: 203-557-3148
Mailing address:
  • Phone: 203-856-8550
  • Fax: 203-557-3148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number010374
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: