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Uma Ballava Mishra, MD
Specialist in Cornwall, New York
NPI 1003803594

Uma Ballava Mishra is a Specialist based in Cornwall, NY. Uma Ballava Mishra practices in Cornwall, NY and has the professional credentials of MD. The NPI Number for Uma Ballava Mishra is 1003803594 and holds a License No. 1356911 (New York).

The current practice location address for Uma Ballava Mishra is 2565 Route 9W, Cornwall, NY and can be reached out via phone at 845-534-4700 and via fax at 845-534-4800.

Location: 2565 Route 9W, Cornwall, NY, 12518-1309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003803594
Provider Name
Uma Ballava Mishra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2565 Route 9W, Cornwall, NY, 12518-1309
Phone Number
845-534-4700
Fax Number
845-534-4800
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00960843 05 NY
institution
Provider Business Practice Location Address Details
Address
2565 Route 9W
City
Cornwall
State
New York
Zip
12518-1309
Phone Number
845-534-4700
Fax Number
845-534-4800
person
Provider Business Mailing Address Details
Address
2565 Route 9W
City
Cornwall
State
New York
Zip
12518-1309
Phone Number
845-534-4700
Fax Number
845-534-4800
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1356911 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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