Individual
RADHA GOSALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3548
(718) 667-3577
Mailing address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3548
(718) 667-3577
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017510-1
NY
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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