NERLIGE BASAVARAJU PHYSICIAN, P.C.

COMMACK, NY
NPI1427576370
Entity TypeOrganization
Authorized ContactNERLIGE BASAVARAJU
CEO
516-713-4465
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  117319)
Enumeration Date2017-08-30
Last Update Date2017-08-30
Business Address
NERLIGE BASAVARAJU PHYSICIAN, P.C.
68 HAUPPAUGE RD
COMMACK, NY 11725-4403
Phone number: 516-713-4465
Mailing Address
NERLIGE BASAVARAJU PHYSICIAN, P.C.
378 ELM DR
ROSLYN, NY 11576-3013
Phone number: 516-713-4465