Individual
DR. CHANDRASAKARA SIVAKUMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 357-7830
(845) 357-8263
Mailing address
133 LAFAYETTE AVE, SUFFERN, NY 10901-5614
(845) 357-7830
(845) 357-8263
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
129685-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0772129
—
NY
Enumeration date
08/31/2006
Last updated
07/08/2007
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