MEDICARE: DR. KAMALA DAWN SETHI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	240425	NY

General Provider Information

NPI Number	:	1417117656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAMALA DAWN SETHI M.D.

Provider Business Mailing Address
First Line	:	162 E 88TH ST APT 11
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-2239
Country	:	US
Telephone Number	:	212-203-1898
Fax Number	:

Provider Business Practice Location Address
First Line	:	162 E 88TH ST APT 11
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-2239
Country	:	US
Telephone Number	:	212-203-1898
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	06/11/2008

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