Individual
MR. NIROSHAN SUBESHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
(914) 787-5000
Mailing address
14 VAN WORT DR, GARNERVILLE, NY 10923-1921
(845) 709-5749
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
026997
NY
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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