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Organization
MYTHILI SRIKRISHNAN MD
Active
Organization
MYTHILI SRIKRISHNAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYTHILI TAMARAPU SRIKRISHNAN MD (MD/OWNER)
(716) 937-3255
Entity
Organization
Contact information
Practice address
12845 BROADWAY ST, ALDEN, NY 14004-1223
(716) 937-3255
(716) 937-1110
Mailing address
12845 BROADWAY ST, ALDEN, NY 14004-1223
(716) 937-3255
(716) 937-1110
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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