Individual
PADMA S PARAMANANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(917) 365-6716
Mailing address
1632 HUTCHINSON RIVER PKWY, APT 3F, BRONX, NY 10461
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017387-1
NY
Other
Enumeration date
02/20/2014
Last updated
06/30/2016
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