Individual
PASRAM GOBERDHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
681 EAGLE AVENUE, BRONX, NY 10455
(347) 463-2455
Mailing address
681 EAGLE AVE, BRONX, NY 10455-1491
(347) 463-2455
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
274414882
NY
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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