Provider Demographics
NPI:1962482448
Name:RASHMI GULATI
Entity Type:Organization
Organization Name:RASHMI GULATI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETER
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:GULATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-794-1520
Mailing Address - Street 1:301 E 78TH ST
Mailing Address - Street 2:16E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-1322
Mailing Address - Country:US
Mailing Address - Phone:212-794-1520
Mailing Address - Fax:212-794-8800
Practice Address - Street 1:42 45 KISSENA BLVD
Practice Address - Street 2:1Z
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:212-794-1520
Practice Address - Fax:212-794-8800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228560173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02525964Medicaid
NY213AL1Medicare ID - Type Unspecified
NYG39159Medicare UPIN