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Individual

DR. RAMANATHA SRINIVASAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
70 DUBOIS ST, NEWBURGH, NY 12550-4851
(845) 565-9400
(845) 565-3395
Mailing address
484 TEMPLE HILL RD, SRE 104, NEW WINDSOR, NY 12553-5557
(845) 565-3700
(845) 565-3395

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
126695
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01107157
NY
Enumeration date
04/27/2006
Last updated
04/01/2010
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