MEDICARE: DEEPIKA VERMA

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	174H00000X	Health Educator

General Provider Information

NPI Number	:	1700670668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEEPIKA VERMA

Provider Business Mailing Address
First Line	:	4720 CENTER BLVD APT 1510
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11109-5688
Country	:	US
Telephone Number	:	206-451-9984
Fax Number	:

Provider Business Practice Location Address
First Line	:	4720 CENTER BLVD APT 1510
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11109-5688
Country	:	US
Telephone Number	:	206-451-9984
Fax Number	:

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

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	04/07/2025

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Directions to “ DEEPIKA VERMA ” Practice Location

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