CHINAGANDHAM SRINIVISA BHUPATHI

STATEN ISLAND, NY
NPI1114911963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: NY  116509)
Enumeration Date2005-09-08
Last Update Date2007-07-08
Business Address
Mr. CHINAGANDHAM SRINIVISA BHUPATHI
11 RALPH PL SUITE 102
STATEN ISLAND, NY 10304-4419
Phone number: 718-447-6545
Mailing Address
Mr. CHINAGANDHAM SRINIVISA BHUPATHI
11 RALPH PL SUITE 102
STATEN ISLAND, NY 10304-4419
Phone number: 718-447-6545
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