Individual
ADITHYA BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 E 68TH ST FL 9, NEW YORK, NY 10065-4870
(212) 746-5455
Mailing address
1047 REGENCY KNOLL DR, SAN JOSE, CA 95129-3039
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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