Individual
GIRISH BHALODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
SUN RIVER, 57 BAY STREET, STATEN ISLAND, NY 10301
(855) 681-8700
Mailing address
608 SPICER AVE, SOUTH PLAINFIELD, NJ 07080-3947
(732) 407-1759
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403426
NY
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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