Provider Demographics
NPI:1598388712
Name:GARHA, AMANDEEP
Entity Type:Individual
Prefix:MS
First Name:AMANDEEP
Middle Name:
Last Name:GARHA
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 1:67 CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3339
Mailing Address - Country:US
Mailing Address - Phone:917-428-2474
Mailing Address - Fax:
Practice Address - Street 1:67 CLIFF DR
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3339
Practice Address - Country:US
Practice Address - Phone:917-428-2474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174V00000XOther Service ProvidersClinical Ethicist