Individual
DR. VELLORE S PARITHIVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1114
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
135004
NY
208600000X
Surgery Physician
Primary
135004
NY
2086S0102X
Surgical Critical Care Physician
135004
NY
2086S0127X
Trauma Surgery Physician
135004
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00607621
—
NY
Enumeration date
09/26/2006
Last updated
10/19/2016
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