SIVA K KOLUPOTI

PORT JEFFERSON STATION, NY
NPI1609809102
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  200333)
Enumeration Date2006-07-08
Last Update Date2007-07-08
Business Address
Dr. SIVA K KOLUPOTI M.D
2 MEDICAL DR SUITE D
PORT JEFFERSON STATION, NY 11776-1598
Phone number: 631-331-5010
Mailing Address
Dr. SIVA K KOLUPOTI M.D
2 MEDICAL DR SUITE D
PORT JEFFERSON STATION, NY 11776-1598
Phone number: 631-331-5010
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