Organization
RIVERSIDE SURGICAL P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOVINDAN GANDHI M.D (PRESIDENT)
(914) 965-0625
Entity
Organization
Contact information
Practice address
970 N BROADWAY, SUITE 309, YONKERS, NY 10701-1309
(914) 965-0625
(914) 965-0107
Mailing address
970 N BROADWAY, SUITE 309, YONKERS, NY 10701-1309
(914) 965-0625
(914) 965-0107
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
135684
NY
Other
Enumeration date
11/19/2007
Last updated
11/22/2007
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