Most Relevant Information
Provider Data
| NPI Number: | 1003312158 |
| Provider Name: | EESHA URVASHI BHALLA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2018 |
| Last Updated: | 06/09/2022 |
Provider Practice Location
1 GUSTAVE L LEVY PL # 1010
NEW YORK
NY
100296504
Practice Location Phone/Fax
| Phone: | 2122417473 |
| Fax: |
Provider Mailing Location
1 GUSTAVE L LEVY PL # 1010
NEW YORK
NY
100296504
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |