Basic Information
Provider Information
NPI: 1518981513
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BHATIA
FirstName: SUNEETA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 302 MANOR RD
Address2:  
City: STATEN ISLAND
State: NY
PostalCode: 103142408
CountryCode: US
TelephoneNumber: 7188151000
FaxNumber: 7188158122
Practice Location
Address1: 130 AVENUE P
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112046362
CountryCode: US
TelephoneNumber: 7188151000
FaxNumber: 7188158122
Other Information
ProviderEnumerationDate: 07/26/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X156525NYY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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