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Individual

SOURABH VERMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
462 1ST AVE, FLOOR 8 ROOM 8W31 NEW BELLEVUE, NEW YORK, NY 10016-9196
(212) 263-7286
Mailing address
10 WATERSIDE PLAZA, APT 31 B, NEW YORK, NY 10010
(989) 854-4863

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
286678
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
286678
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/24/2014
Last updated
03/24/2023
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