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1083926703
REVATHY PRASANNA RAJAH
BROOKLYN, NY
NPI
1083926703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY FR0435669024)
Enumeration Date
2010-07-10
Last Update Date
2021-12-15
Business Address
Dr. REVATHY PRASANNA RAJAH M.D.
450 CLARKSON AVE
BROOKLYN, NY 11203-2012
Phone number: 718-270-1000
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Mailing Address
Dr. REVATHY PRASANNA RAJAH M.D.
116 WINFIELD ST
STATEN ISLAND, NY 10305-3542
Phone number: 510-364-9745
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