| Sarala K Reddy Md. Pc. | |
|
755 Park Ave Suite 120 Huntington NY 11743 | |
| (631) 784-7803 | |
| (631) 784-7814 |
| Full Name | Sarala K Reddy Md. Pc. |
|---|---|
| Speciality | Psychologist |
| Location | 755 Park Ave, Huntington, New York |
| Authorized Official Name and Position | Sandie Maloney (MEDICAL BILLER) |
| Authorized Official Contact | 6317847803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarala K Reddy Md. Pc. 755 Park Ave Suite 120 Huntington NY 11743-3975 Ph: (631) 784-7803 | Sarala K Reddy Md. Pc. 755 Park Ave Suite 120 Huntington NY 11743 Ph: (631) 784-7803 |
| NPI Number | 1538421946 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 06/12/2012 |
| Medicare PECOS PAC ID | 1658537873 |
|---|---|
| Medicare Enrollment ID | O20120716000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538421946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 00168136 (New York) | Primary |
| Provider Name | Sarala K Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245292234 PECOS PAC ID: 7012909856 Enrollment ID: I20040401000020 |
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