Individual
MATHUSHAN MOHANAROOBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1 CAMPUS RD, STATEN ISLAND, NY 10301-4479
(718) 420-4151
Mailing address
595 WOOLLEY AVE, STATEN ISLAND, NY 10314-6820
(347) 822-1427
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/15/2022
Last updated
05/15/2022
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