Individual
SUSHANTH SREENIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
276-05 76TH AVENUE, NEW HYDE PARK, NY 11040
(718) 470-3377
Mailing address
276-05 76TH AVENUE, NEW HYDE PARK, NY 11040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
338847-01
NY
207R00000X
Internal Medicine Physician
Primary
MD472091
PA
208M00000X
Hospitalist Physician
Primary
MD472091
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2017
Last updated
01/20/2026
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