Individual
BIRJU RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 W 17TH ST, NEW YORK, NY 10011-5433
(212) 321-7003
Mailing address
129 W 29TH ST FL 10, NEW YORK, NY 10001-5105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026295
NY
Other
Enumeration date
01/23/2021
Last updated
02/09/2024
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