Individual
SHIVKUMAR SUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
174 BOULEVARD, HASBROUCK HEIGHTS, NJ 07604-1846
(201) 426-0299
(201) 592-4016
Mailing address
174 BOULEVARD, HASBROUCK HEIGHTS, NJ 07604-1846
(201) 426-0299
(201) 592-4016
Taxonomy
Speciality
Code
Description
License number
State
246Y00000X
Health Information Specialist/Technologist
—
—
251E00000X
Home Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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