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Contact Information

SREEVATHSA BORAIAH, MD
100 PROSPECT ST
APT N209
STAMFORD, CT06901-1696
 Phone: 313-686-1024
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SREEVATHSA BORAIAH · (Male)

NPI Number 1093147225
Status Active
Credentials MD
Entity Individual
Enumeration date 07/30/2013
Last updated 07/30/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 60 271604
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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