43RD ST FAMILY PRACTICE PLLC

SUNNYSIDE, NY
NPI1194830265
Entity TypeOrganization
Authorized ContactDURGA MADDINENI
Md
718-392-2220
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  227095)
Enumeration Date2006-08-20
Last Update Date2016-03-31
Business Address
43RD ST FAMILY PRACTICE PLLC
4543 43RD ST
SUNNYSIDE, NY 11104-2609
Phone number: 718-392-2220
Mailing Address
43RD ST FAMILY PRACTICE PLLC
4543 43RD ST
SUNNYSIDE, NY 11104-2609
Phone number: 718-392-2220