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1336300607
BALAJI GOPIDASAN
SYRACUSE, NY
NPI
1336300607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry
(Licence: AL L2956)
Enumeration Date
2008-06-19
Last Update Date
2010-06-16
Business Address
BALAJI GOPIDASAN M.B.B.S.
620 MADISON ST
SYRACUSE, NY 13210-2319
Phone number: 315-426-3630
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Mailing Address
BALAJI GOPIDASAN M.B.B.S.
770 MAPLE RD APPT # 1B
WILLIAMSVILLE, NY 14221-3249
Phone number:
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