Anupama Yennamandra, OD | |
1430 3rd Ave, New York, NY 10028-1904 | |
(917) 432-5403 | |
Not Available |
Full Name | Anupama Yennamandra |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1430 3rd Ave, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558615617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV-007940 (New York) | Primary |
Provider Name | Aj Vision Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801164702 PECOS PAC ID: 5799942843 Enrollment ID: O20120201000787 |
Provider Name | Family Optometry Care Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447608732 PECOS PAC ID: 3870886534 Enrollment ID: O20160719000969 |
Mailing Address | Practice Location Address |
---|---|
Anupama Yennamandra, OD 1430 3rd Ave, New York, NY 10028-1904 Ph: (917) 432-5403 | Anupama Yennamandra, OD 1430 3rd Ave, New York, NY 10028-1904 Ph: (917) 432-5403 |
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Gary Tracy, Od P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 210 W 79th St, New York, NY 10024 Phone: 212-877-5840 Fax: 212-877-5841 | |
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