BETHANAPALLI BOSE

BROOKLYN, NY
NPI1174696736
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X 
(Licence: NY  1127940)
Additional Taxonomies224P00000X Prosthetist
(Licence: NY  1127940)
Enumeration Date2006-11-15
Last Update Date2008-02-01
Business Address
Mr. BETHANAPALLI BOSE CPO
6911 FORT HAMILTON PKWY
BROOKLYN, NY 11228-1101
Phone number: 718-680-0225
Mailing Address
Mr. BETHANAPALLI BOSE CPO
1-25 26TH ST
FAIR LAWN, NJ 07410-3802
Phone number: 718-680-0225
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