Individual
HIMA VADAKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(914) 484-4541
Mailing address
80 RIVERDALE AVE, APT 5M, YONKERS, NY 10701-3651
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015309-1
NY
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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