Individual provider · Type 1 NPI

Sanaadhan Poonamallee Kothandaraman

Student in an Organized Health Care Education/Training Program · Newburgh, NY

NPI number 1114716271 Active

Practice location

70 Dubois Street, Montefiore St. Luke' Cornwall Hospita
Newburgh, NY 12550

Call (845) 561-4400 Map

Fax (845) 784-3960

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114716271

Sanaadhan Poonamallee Kothandaraman's National Provider Identifier is 1114716271, issued on May 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newburgh, NY. The record was last updated on Oct 1, 2025.