Provider Demographics
NPI:1538455548
Name:PATHAK, NEHA J (DPM)
Entity type:Individual
Prefix:DR
First Name:NEHA
Middle Name:J
Last Name:PATHAK
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8801 5TH AVE UNIT 90528
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5961
Mailing Address - Country:US
Mailing Address - Phone:614-537-2453
Mailing Address - Fax:
Practice Address - Street 1:123 W 20TH ST
Practice Address - Street 2:APT 1W
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-3639
Practice Address - Country:US
Practice Address - Phone:646-923-6999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0066571213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist