Sivaraman, Vimala

Sivaraman, Vimala is an sole proprietor health care provider with primary practice located at 1 Vantage Ct , Port Jefferson NY 11777-2237. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Sivaraman, Vimala can be contacted via phone (631) 331-2422.

Contact Information

Primary practice address
1 Vantage Ct Port Jefferson NY 11777-2237
Phone: (631) 331-2422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 173991-1 New York

Profile Details

NPI number 1831561687
LBN Legal business name Sivaraman, Vimala
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2015
Last updated Oct 20th, 2015 - about 9 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.

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