Individual
MS. BHIRAVI NADARAJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8550 118TH ST, KEW GARDENS, NY 11415-2908
(718) 441-4363
Mailing address
8550 118TH ST, KEW GARDENS, NY 11415-2908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019237
NY
Other
Enumeration date
11/08/2015
Last updated
03/28/2016
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