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
Phone: (631) 854-1008
Fax: (631) 854-1031
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104836295 | NPPES |
New York | MEDICAID | 01770112 |
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