Individual
NEELAMBIKA SHARANABASAPPA REVADIGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-3090
(212) 305-9578
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
280125
NY
Other
Enumeration date
08/29/2012
Last updated
12/17/2024
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