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Individual

VIJAYALEKSHMI VARADA NAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
123 CONHOCTON ST STE 103, CORNING, NY 14830-2959
(607) 438-1200
(607) 438-1221
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244

Taxonomy

Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
294627
NY
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
294627
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06075387
NY
05
103803129
PA
Enumeration date
04/21/2014
Last updated
11/25/2020
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