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Individual

ARIARATNAM GOBIKRISHNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
623 E 233RD ST, BRONX, NY 10466-2801
(914) 345-8015
Mailing address
379 KNOLLWOOD ROAD EXT, ELMSFORD, NY 10523-2910

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
194921-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01466320
NY
Enumeration date
06/19/2006
Last updated
12/25/2007
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