Individual
MR. SUDEESH RAJKUMAR ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 960-1400
Mailing address
200 W 20TH ST APT 405, NEW YORK, NY 10011-3561
(646) 246-8467
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
231808
NY
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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