Provider Demographics
NPI:1790933257
Name:AGGARWAL, NIDHI
Entity Type:Individual
Prefix:
First Name:NIDHI
Middle Name:
Last Name:AGGARWAL
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 1:964 49TH ST
Mailing Address - Street 2:E6
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2939
Mailing Address - Country:US
Mailing Address - Phone:908-240-4582
Mailing Address - Fax:
Practice Address - Street 1:964 49TH ST
Practice Address - Street 2:E6
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2939
Practice Address - Country:US
Practice Address - Phone:908-240-4582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program