Provider Demographics
NPI:1366871360
Name:MALHOTRA, NEHA (MSOT)
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:
Last Name:MALHOTRA
Suffix:
Gender:F
Credentials:MSOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7647B COMMONWEALTH BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1854
Mailing Address - Country:US
Mailing Address - Phone:516-574-9520
Mailing Address - Fax:516-574-9520
Practice Address - Street 1:47 MILLER PL
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-5756
Practice Address - Country:US
Practice Address - Phone:516-574-9520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist