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Divya Viswanathan, PA-C
Surgical Physician Assistant in Valhalla, New York
NPI 1386296689

Divya Viswanathan is a Surgical Physician Assistant based in Hawthorne, NY and is specialized in Surgical. Divya Viswanathan practices in Valhalla, NY and has the professional credentials of PA-C. The NPI Number for Divya Viswanathan is 1386296689 and holds a License No. 023572 (New York).

The current practice location address for Divya Viswanathan is 100 Woods Rd, Valhalla, NY and can be reached out via phone at 914-493-2363.

Location: 100 Woods Rd, Valhalla, NY, 10532-2140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386296689
Provider Name
Divya Viswanathan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
100 Woods Rd, Valhalla, NY, 10532-2140
Phone Number
914-493-2363
Fax Number
Provider Enumeration Date
07/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
023572 01 NY NYS LICENSE
institution
Provider Business Practice Location Address Details
Address
100 Woods Rd
City
Valhalla
State
New York
Zip
10595-1530
Phone Number
914-493-2363
Fax Number
person
Provider Business Mailing Address Details
Address
100 Woods Rd
City
Valhalla
State
New York
Zip
10595-1530
Phone Number
914-493-2363
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
023572 (New York)
Definition
Definition to come...
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