Individual
MR. BOBBIE EAPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(347) 277-8207
Mailing address
2 CAROL LN, TAPPAN, NY 10983-2127
(914) 426-7862
(845) 215-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014513
NY
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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