| NPI | 1477447225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASIKUMAR KATAMREDDY Owner 914-414-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-07-07 |