VIMALA SIVARAMAN

PORT JEFFERSON, NY
NPI1831561687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: NY  173991-1)
Enumeration Date2015-10-20
Last Update Date2015-10-20
Business Address
VIMALA SIVARAMAN
1 VANTAGE CT
PORT JEFFERSON, NY 11777-2237
Phone number: 631-331-2422
Mailing Address
VIMALA SIVARAMAN
PO BOX 638
PORT JEFFERSON, NY 11777-0638
Phone number: 631-331-2422
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