Individual provider · Type 1 NPI

Mathushan Mohanarooban, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Staten Island, NY

NPI number 1104563865 Active

Practice location

1 Campus Rd
Staten Island, NY 10301-4479

Call (718) 420-4151 Map

Mailing address

595 Woolley Ave
Staten Island, NY 10314-6820

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1104563865

Mathushan Mohanarooban, PHYSICIAN ASSISTANT's National Provider Identifier is 1104563865, issued on May 15, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on May 15, 2022.