Provider Demographics
NPI:1124300439
Name:MEENA G NADROO MD PC
Entity type:Organization
Organization Name:MEENA G NADROO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:NADROO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-731-5070
Mailing Address - Street 1:5 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3036
Mailing Address - Country:US
Mailing Address - Phone:516-731-5070
Mailing Address - Fax:
Practice Address - Street 1:4250 HEMPSTEAD TPKE #16
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5707
Practice Address - Country:US
Practice Address - Phone:516-731-5070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250061207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty