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:
Health care specialties
| Specialty | Code | License # | 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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