person
Dr. Bangalore S Sridhara, MD
Specialist in Stony Point, New York
NPI 1063482636

Bangalore S Sridhara is a Specialist based in Warwick, NY. Bangalore S Sridhara practices in Stony Point, NY and has the professional credentials of MD. The NPI Number for Bangalore S Sridhara is 1063482636 and holds a License No. 213781 (New York).

The current practice location address for Bangalore S Sridhara is 12 Liberty Square Mall, Stony Point, NY and can be reached out via phone at 845-942-1001 and via fax at 845-942-1431.

Location: 12 Liberty Square Mall, Stony Point, NY, 10990-1035
person
Provider Profile Details
NPI Number
1063482636
Provider Name
Bangalore S Sridhara
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12 Liberty Square Mall, Stony Point, NY, 10990-1035
Phone Number
845-942-1001
Fax Number
845-942-1431
Provider Enumeration Date
01/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
961385 01 NY MVP/TACONIC IPA
193679 01 NY WELLCARE
213781 01 NY CONNECTICARE
213781 01 NY HIP
700608 01 NY US FAMILY HEALTH PLAN
2386215 01 NY AETNA HMO
P00114326 01 NY RAILROAD MEDICARE
01943466 05 NY
58N891 01 NY EMPIRE BC STONY POINT
N67450 01 NY HEALTHNET
000000045698 01 NY GHI HMO
133693126 01 NY TAX ID #
P1979240 01 NY OXFORD
0181480 01 NY GHI PPO
58N892 01 NY EMPIRE BC WEST NYACK
7998110 01 NY AETNA PPO
institution
Provider Business Practice Location Address Details
Address
12 Liberty Square Mall
City
State
Zip
10980-2400
Phone Number
845-942-1001
Fax Number
845-942-1431
person
Provider Business Mailing Address Details
Address
12 Liberty Square Mall
City
State
Zip
10980-2400
Phone Number
845-942-1001
Fax Number
845-942-1431
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
213781 (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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