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1811747280
SHASHWAT SHRIVASTAVA
BRONX, NY
NPI
1811747280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-26
Last Update Date
2024-04-23
Business Address
SHASHWAT SHRIVASTAVA MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-696-2583
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Mailing Address
SHASHWAT SHRIVASTAVA MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-696-2583
Copy
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