| Roshan Kothandaram Physician P.c | |
|
14 Linden St Garden City NY 11530-1811 | |
| (516) 884-4882 | |
| Not Available |
| Full Name | Roshan Kothandaram Physician P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 14 Linden St, Garden City, New York |
| Authorized Official Name and Position | Roshan Kothandaram (CEO) |
| Authorized Official Contact | 5168844882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roshan Kothandaram Physician P.c 14 Linden St Garden City NY 11530-1811 Ph: (516) 884-4882 | Roshan Kothandaram Physician P.c 14 Linden St Garden City NY 11530-1811 Ph: (516) 884-4882 |
| NPI Number | 1144849506 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 04/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144849506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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