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DR. KRISHNAMOORTHY SUBRAMANIAM D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1578682092

Individual Registrant:
DR. KRISHNAMOORTHY  SUBRAMANIAM D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
87-01 MIDLAND PKWY LOBBY-D JAMAICA ESTATES, NY 11432 US
Tel: 718-526-7339  Fax: 718-526-7339

Contact information for business:
87-01 MIDLAND PKWY LOBBY-D  JAMAICA ESTATES, NY 11432 US
Tel: 718-526-7339  Fax: 718-526-7339

Registration Information:
NPI: 1578682092
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
NY042478

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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