Jayabose, Somasundaram
Jayabose, Somasundaram is an individual health care provider with primary practice located at 19 Bradhurst Ave Ste. 1400, Hawthorne NY 10532-2140. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Jayabose, Somasundaram can be contacted via phone (914) 493-7997.Contact Information
Primary practice address
19 Bradhurst Ave Ste. 1400
Hawthorne NY 10532-2140
Phone: (914) 493-7997
Fax: (914) 594-4022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 121557 | New York |
Profile Details
| NPI number | 1316947047 |
|---|---|
| LBN Legal business name | Jayabose, Somasundaram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Sep 26th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316947047 | NPPES |
| Pennsylvania | MEDICAID | 1016681230002 | |
| Pennsylvania | MEDICAID | 00228120 | |
| Pennsylvania | MEDICAID | 7169701 |
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