Individual
PUSHPA VISWANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 366-3400
Mailing address
400 COLUMBUS AVE, VALHALLA, NY 10595-1359
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
327545-01
NY
2080P0205X
Pediatric Endocrinology Physician
MD073483L
PA
Other
Enumeration date
05/02/2008
Last updated
09/09/2024
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