Individual
SOMASUNDARAM JAYABOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, STE. 1400, HAWTHORNE, NY 10532-2140
(914) 493-7997
(914) 594-4022
Mailing address
19 BRADHURST AVE, STE 1400, HAWTHORNE, NY 10532-2140
(914) 593-1729
(914) 593-1790
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
121557
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00228120
—
NY
05
—
1016681230002
—
PA
05
—
7169701
—
NJ
Enumeration date
07/22/2005
Last updated
09/26/2008
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