NPI 1386035129

Pasram Goberdhan

Practitioner Driver Bronx, NY

Practice location

Address: 681 Eagle Avenue, Bronx, NY 10455
Phone: (347) 463-2455
Mailing address: 681 Eagle Ave, Bronx, NY 10455-1491

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 274414882 (NY)

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Registry record

NPI: 1386035129
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2015
Record last updated: 16 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.