Srinivasan, Bhavani

Srinivasan, Bhavani is an individual health care provider with primary practice located at 1080 Sunrise Highway Maxine S Postal Tri Community Health Center, Amityville NY 11701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Srinivasan, Bhavani can be contacted via phone (631) 854-1008.

Contact Information

Primary practice address
1080 Sunrise Highway Maxine S Postal Tri Community Health Center Amityville NY 11701
Fax: (631) 854-1031
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 145566 New York

Profile Details

NPI number 1104836295
LBN Legal business name Srinivasan, Bhavani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104836295 NPPES
New York MEDICAID 01770112

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