Organization
SRINO BHARAM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINO BHARAM MD PC (PRESIDENT)
(212) 691-3535
Entity
Organization
Contact information
Practice address
130 E. 77TH ST, 8 FL BLACK HALL, NEW YORK, NY 10075
(212) 691-3535
(212) 691-6370
Mailing address
130 E. 77TH ST, 8 FL BLACK HALL, NEW YORK, NY 10075
(212) 691-3535
(212) 691-6370
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
203659
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02426126
—
NY
Enumeration date
10/24/2006
Last updated
08/25/2014
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