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Individual

DR. A BENJAMIN SRIVASTAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1051 RIVERSIDE DR UNIT 66, NEW YORK, NY 10032-1007
(646) 774-5000
Mailing address
1051 RIVERSIDE DR UNIT 66, NEW YORK, NY 10032-1007
(646) 774-5000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2016013823
MO
2084P0800X
Psychiatry Physician
Primary
292602
NY

Other

Enumeration date
07/02/2014
Last updated
11/09/2018
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