SearchNew York2084N0400X

Shaetu Datta, M.D

NPI 1720493141 · on the registry since 2014 · sole proprietor

Practice

Address
1530 Front St
East Meadow, NY 11554
Phone
(516) 520-3053
Organisation at this address
Waldbaum Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
55

Registry record

Primary taxonomy
2084N0400X
2084N0400X
Also registered as
390200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York