Individual
FNU SADARAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-4091
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
306084
NY
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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