Organization
PURNIMA VYAVAHARKAR PEDIATRIC PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PURNIMA VYAVAHARKAR MD (OWNER)
(315) 652-7939
Entity
Organization
Contact information
Practice address
8400 OSWEGO RD, LIVERPOOL, NY 13090-1004
(315) 652-7939
(315) 652-6331
Mailing address
PO BOX 2001, EAST SYRACUSE, NY 13057-4501
(315) 449-2208
(315) 362-5120
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/14/2005
Last updated
08/22/2020
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