| Jodan Anthony Pathinathan MD PLLC | |
|
1809 Gravesend Neck Rd Brooklyn NY 11229-4510 | |
| (954) 294-5500 | |
| Not Available |
| Full Name | Jodan Anthony Pathinathan MD PLLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1809 Gravesend Neck Rd, Brooklyn, New York |
| Authorized Official Name and Position | Jodan Anthony Pathinathan (CEO) |
| Authorized Official Contact | 9542945500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodan Anthony Pathinathan MD PLLC 6917 Shore Rd Brooklyn NY 11209-1057 Ph: (954) 294-5500 | Jodan Anthony Pathinathan MD PLLC 1809 Gravesend Neck Rd Brooklyn NY 11229-4510 Ph: (954) 294-5500 |
| NPI Number | 1407620271 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407620271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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