| NPI | 1144849506 |
|---|---|
| Former Legal Business Name | ROSHAN KOTHANDARAM PHYSICIAN P.C |
| Entity Type | Organization |
| Authorized Contact | ROSHAN KOTHANDARAM CEO 516-884-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |