Vimala Sivaraman
NPI #1831561687 in Port Jefferson, New York
Provider Information
- NPI Number
- 1831561687
- Entity Type
- Individual
- Name
- Vimala Sivaraman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Surgery
- Enumeration Date
- Oct 20, 2015
- Last Updated
- Oct 20, 2015
Practice Location
- Address
- 1 VANTAGE CT
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2237
- Phone
- (631) 331-2422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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