Individual
PURNIMA VYAVAHARKAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8400 OSWEGO RD, LIVERPOOL, NY 13090-1004
(315) 652-7939
(315) 652-6331
Mailing address
PO BOX 2001, EAST SYRACUSE, NY 13057-4501
(315) 449-2208
(315) 362-5120
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
161332
NY
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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