Provider Demographics
NPI:1003554833
Name:SEDHAI, SWASTIKA
Entity Type:Individual
Prefix:MS
First Name:SWASTIKA
Middle Name:
Last Name:SEDHAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 LONEZ AVENUE
Mailing Address - Street 2:
Mailing Address - City:HARLEM
Mailing Address - State:NY
Mailing Address - Zip Code:10037
Mailing Address - Country:US
Mailing Address - Phone:212-939-1641
Mailing Address - Fax:
Practice Address - Street 1:506 LONEZ AVENUE
Practice Address - Street 2:
Practice Address - City:HARLEM
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:212-939-1641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2023-08-11
Deactivation Date:2023-02-20
Deactivation Code:
Reactivation Date:2023-08-11
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program