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1053892299
NIMISHA SRIVASTAVA
SYRACUSE, NY
NPI
1053892299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-08-26
Last Update Date
2019-10-21
Business Address
NIMISHA SRIVASTAVA MD
750 E ADAMS ST
SYRACUSE, NY 13210
Phone number: 315-464-5240
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Mailing Address
NIMISHA SRIVASTAVA MD
750 E ADAMS ST
SYRACUSE, NY 13210-1834
Phone number: 315-464-5240
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