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1861912511
KANNEGANTI DIVYA
MINEOLA, NY
NPI
1861912511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-06-23
Last Update Date
2017-06-23
Business Address
KANNEGANTI DIVYA MD
120 MINEOLA BLVD STE 210
MINEOLA, NY 11501-4077
Phone number: 516-663-4600
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Mailing Address
KANNEGANTI DIVYA MD
276 1ST ST APT 1J
MINEOLA, NY 11501-2366
Phone number: 781-606-1710
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