Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 254901 | NY |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 254901 | NY |
NPI | 1043262900 |
---|---|
Provider Name | Pinchi Sundaram Srinivasan |
First Address | New York, NY 10087-7842 |
Second Address | Flushing, NY 11355-5045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 02/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02526805 | (05) | NY |
I04820 | (02) | NY |