Provider Demographics
NPI:1053620310
Name:DHINGRA, NITI
Entity type:Individual
Prefix:DR
First Name:NITI
Middle Name:
Last Name:DHINGRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8766 118TH ST
Mailing Address - Street 2:SOUTH RICHMOND HILL
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2527
Mailing Address - Country:US
Mailing Address - Phone:917-971-5306
Mailing Address - Fax:
Practice Address - Street 1:8766 118TH ST
Practice Address - Street 2:SOUTH RICHMOND HILL
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2527
Practice Address - Country:US
Practice Address - Phone:917-971-5306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYJEWISH BOARD, CDC390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program