Individual
DR. BHAVANI SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1080 SUNRISE HIGHWAY, MAXINE S POSTAL TRI COMMUNITY HEALTH CENTER, AMITYVILLE, NY 11701
(631) 854-1008
(631) 854-1031
Mailing address
1080 SUNRISE HIGHWAY, MAXINE S POSTAL TRI COMMUNITY HEALTH CENTER, AMITYVILLE, NY 11701
(631) 854-1008
(631) 854-1031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
145566
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01770112
—
NY
Enumeration date
08/09/2006
Last updated
07/08/2007
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