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 |