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Individual

MRS. AMRIT BOPAIAH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 SEAVIEW AVE, STATEN ISLAND, NY 10305
(718) 351-0199
(718) 667-4225
Mailing address
400 SEAVIEW AVE, STATEN ISLAND, NY 10305
(718) 351-0199
(718) 667-4225

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
139862
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1844504
NY
Enumeration date
03/01/2006
Last updated
07/08/2007
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