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1518256817
SUSRUTH PINNAMANENI
NEW PALTZ, NY
NPI
1518256817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 271019)
Enumeration Date
2011-04-07
Last Update Date
2015-03-13
Business Address
-- SUSRUTH PINNAMANENI D.O.
279 MAIN ST
NEW PALTZ, NY 12561-1623
Phone number: 845-255-2930
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Mailing Address
-- SUSRUTH PINNAMANENI D.O.
279 MAIN ST
NEW PALTZ, NY 12561-1623
Phone number: 845-255-3046
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