Vamadevan Nallasivam in Staten Island - Pediatrics

Vamadevan Nallasivam - NPI 1518092170

Vamadevan Nallasivam is a Pediatrics in Staten Island, New York. Vamadevan Nallasivam practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Vamadevan Nallasivam is 1518092170. The last update date is 2007-07-08.

Vamadevan Nallasivam's current location address is 115 Bolivar St, Staten Island, New York. You can contact this provider via phone number 2126633420 and fax number 2126633925. The mailing address for Vamadevan Nallasivam is 115 Bolivar St, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Vamadevan Nallasivam
Address 115 Bolivar St, Staten Island, New York
Phone Number 2126633420
Fax Number 2126633925
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1518092170
Provider Enumeration Date 2007-02-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 115 Bolivar St
City Staten Island
State New York (NY)
Post Code 103145672
Phone Number 2126633420
Fax Number 2126633925

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 123304
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1675410 NY --

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FAQs about Vamadevan Nallasivam

What is the unique 10-digit identifier code assigned to Vamadevan Nallasivam by the Centers for Medicare & Medicaid Services?

The Vamadevan Nallasivam has been issued the NPI (National Provider Identifier) 1518092170 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Vamadevan Nallasivam is geographically located?

The Vamadevan Nallasivam is physically situated at the following location: 115 Bolivar St, Staten Island, NY, 103145672.

What is Vamadevan Nallasivam's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Vamadevan Nallasivam is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

On what date did the Vamadevan Nallasivam receive the assignment of its 1518092170 from the Centers for Medicare & Medicaid Services?

The Vamadevan Nallasivam was issued its 1518092170 by the Centers for Medicare & Medicaid Services on 2007-02-23.

When was the information pertaining to Vamadevan Nallasivam most recently updated or revised?

The details related to Vamadevan Nallasivam, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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