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Individual

SOUNDER R ESWAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15748 85TH ST, HOWARD BEACH, NY 11414-2696
(718) 738-6223
(718) 738-2511
Mailing address
15748 85TH ST, HOWARD BEACH, NY 11414-2619
(718) 738-6223

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
116512
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00215843
NY
01
139312P
HIP
NY
Enumeration date
06/09/2006
Last updated
08/14/2012
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