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Individual

DR. KISHORE AGRAWAL

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
4287 RICHMOND AVE, STATEN ISLAND, NY 10312-6241
(718) 948-1273
(718) 984-6932
Mailing address
4287 RICHMOND AVE, STATEN ISLAND, NY 10312-6241
(718) 948-1273
(718) 984-6932

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
146200
NY

Other

Enumeration date
03/08/2006
Last updated
07/08/2007
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