Most Relevant Information
Provider Data
| NPI Number: | 1003376047 |
| Provider Name: | PRESHITA DATE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2019 |
| Last Updated: | 11/01/2023 |
Provider Practice Location
3201 KINGS HWY
BROOKLYN
NY
112342625
Practice Location Phone/Fax
| Phone: | 2122416426 |
| Fax: |
Provider Mailing Location
PO BOX 5024
NEW YORK
NY
100875024
Provider Mailing Phone/Fax
| Phone: | 8006274470 |
| Fax: | 8438064742 |