Individual provider · Type 1 NPI

Divya Viswanathan, PA-C

Surgical Physician Assistant · Valhalla, NY

NPI number 1386296689 Active

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Call (914) 493-2363 Map

Mailing address

19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X023572 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1386296689

Divya Viswanathan, PA-C's National Provider Identifier is 1386296689, issued on Jul 16, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Valhalla, NY. The record was last updated on Sep 19, 2019.