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Individual

SWAYAMPRABHA SADANANDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
85 RADCLIFF AVE, PORT WASHINGTON, NY 11050-1616
(718) 250-6074
(718) 250-6518
Mailing address
85 RADCLIFF AVE, PORT WASHINGTON, NY 11050-1616
(718) 250-6074
(718) 250-6518

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
137345
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00649752
NY
Enumeration date
05/27/2006
Last updated
07/30/2013
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