Provider Demographics
NPI:1679996375
Name:GANPAT, SEETA (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SEETA
Middle Name:
Last Name:GANPAT
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MRS
Other - First Name:SEETA
Other - Middle Name:
Other - Last Name:GANPAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:7845 79TH PL
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-7437
Mailing Address - Country:US
Mailing Address - Phone:917-940-9744
Mailing Address - Fax:
Practice Address - Street 1:7845 79TH PL
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-7437
Practice Address - Country:US
Practice Address - Phone:917-940-9744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338460363LF0000X
NY403972363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily