PRATICHI KOTHARI GOENKA

NEW HYDE PARK, NY
NPI1326231838
Former NamePRATICHI KOTHARI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: PA  MT190621)
Additional Taxonomies208000000X Pediatrics
(Licence: NY  261026-1)
208000000X Pediatrics
(Licence: NJ  25MA09227800)
208000000X Pediatrics
(Licence: PA  MD439291)
Enumeration Date2007-08-20
Last Update Date2014-07-30
Business Address
-- PRATICHI KOTHARI GOENKA M.D.
26901 76TH AVE CCMC, GME OFFICE, STE. 003
NEW HYDE PARK, NY 11040-1433
Phone number: 631-745-5659
Mailing Address
-- PRATICHI KOTHARI GOENKA M.D.
26901 76TH AVE CCMC, GME OFFICE, STE. 003
NEW HYDE PARK, NY 11040-1433
Phone number: 631-745-5659