Individual
MRS. KANTHIMATHI JOTHIANANDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
57 EAST MT EDEN AVE, BRONX, NY 10452
(718) 901-4111
(718) 731-5549
Mailing address
57 EAST MT EDEN AVE, BRONX, NY 10452
(718) 901-4111
(718) 731-5549
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00760196
—
NY
Enumeration date
10/17/2006
Last updated
07/08/2007
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