Provider Demographics
NPI:1720056468
Name:RAMCHANDANI, NEESHA (NP)
Entity Type:Individual
Prefix:
First Name:NEESHA
Middle Name:
Last Name:RAMCHANDANI
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:3415 BAINBRIDGE AVE
Mailing Address - Street 2:DIV. OF PEDIATRIC ENDOCRINOLOGY & DIABETES
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2403
Mailing Address - Country:US
Mailing Address - Phone:718-920-4664
Mailing Address - Fax:718-405-5609
Practice Address - Street 1:3415 BAINBRIDGE AVE
Practice Address - Street 2:DIV. OF PEDIATRIC ENDOCRINOLOGY & DIABETES
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2403
Practice Address - Country:US
Practice Address - Phone:718-920-4664
Practice Address - Fax:718-405-5609
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF381442363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02712090Medicaid
NYQ62504Medicare UPIN
NY1521G1Medicare ID - Type UnspecifiedEMPIRE MEDICARE PART B