Individual
PALLAVI SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-6400
Mailing address
68 SOUTH SERVICE ROAD, SUITE 350, MELVILLE, NY 11747-2358
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
262102
NY
Other
Enumeration date
05/17/2011
Last updated
07/05/2011
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