Individual
VIGNESH PRASAD KRISHNAMOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3376
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
P13691
NY
Other
Enumeration date
12/16/2018
Last updated
01/02/2019
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