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Organization
GOBIKRISHNA PHYSICIAN PC
Active
Organization
GOBIKRISHNA PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIARATNAM GOBIKRISHNA (SOLE PROPRIETER)
(914) 345-8015
Entity
Organization
Contact information
Practice address
623 E 233RD ST, BRONX, NY 10466-2801
(718) 325-5368
Mailing address
379 KNOLLWOOD ROAD EXT, ELMSFORD, NY 10523-2910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
194921-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01466320
—
NY
Enumeration date
06/18/2006
Last updated
09/17/2009
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