Individual
SIVAVEERA KANDASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 NICOLLS RD, HEALTH SCIENCES CENTER T19-080, STONY BROOK, NY 11794-8191
(631) 444-1820
(631) 444-8963
Mailing address
101 NICOLLS RD, HEALTH SCIENCES CENTER T19-080, STONY BROOK, NY 11794-8191
(631) 444-1820
(631) 444-8963
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
337803
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
337803
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D0093659
MD
Other
Enumeration date
04/16/2015
Last updated
07/28/2025
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