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1154903383
VENKATESWARARAO DAMISETTI
BRONX, NY
NPI
1154903383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F310234)
Enumeration Date
2021-04-27
Last Update Date
2022-03-09
Business Address
VENKATESWARARAO DAMISETTI
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
VENKATESWARARAO DAMISETTI
1371 SEABURY AVE
BRONX, NY 10461-3651
Phone number: 718-618-0401
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