Basic Information
| Provider Information | |||||||||
| NPI: | 1063657559 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SETHI | ||||||||
| FirstName: | NEETA | ||||||||
| MiddleName: | V | ||||||||
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| Credential: | NURSE PRACTITIONER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3198 GRAND CONCOURSE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104581000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186180401 | ||||||||
| FaxNumber: | 7187954394 | ||||||||
| Practice Location | |||||||||
| Address1: | 170 MAPLE AVE STE 502 | ||||||||
| Address2: | |||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106014708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149481000 | ||||||||
| FaxNumber: | 9149496109 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2008 | ||||||||
| LastUpdateDate: | 04/17/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | F 337175 | NY | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 163WR0006X | 475863 | NY | Y | Nursing Service Providers | Registered Nurse | Registered Nurse First Assistant |
No ID Information.