Individual
GREGORY L SATHANANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 WATERS PL, BRONX, NY 10461-2723
(718) 931-0600
Mailing address
60 VAN HORN STRET, DEMAREST, NJ 07627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
115404
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115404
—
NY
Enumeration date
06/05/2007
Last updated
07/08/2007
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