Individual
KRISHNAMURTHY BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
348 E 156TH ST, BRONX, NY 10451
(718) 292-2820
(718) 402-7996
Mailing address
72-39 LITTLE NECK PARKWAY, GLEN OAKS, NY 11004
(718) 292-2820
(718) 402-7996
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
128139
NY
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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