D S Reddy Physician P.c | |
732 East Park Ave Long Beach NY 11561 | |
(516) 431-2064 | |
(516) 431-1090 |
Full Name | D S Reddy Physician P.c |
---|---|
Speciality | Internal Medicine |
Location | 732 East Park Ave, Long Beach, New York |
Authorized Official Name and Position | Devi Srinivas Reddy (PRESIDENT) |
Authorized Official Contact | 5164312064 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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D S Reddy Physician P.c 732 East Park Ave Long Beach NY 11561 Ph: (516) 431-2064 | D S Reddy Physician P.c 732 East Park Ave Long Beach NY 11561 Ph: (516) 431-2064 |
NPI Number | 1033170352 |
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Provider Enumeration Date | 03/28/2006 |
Last Update Date | 12/03/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033170352 | NPI | - | NPPES |
00507204 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 126326 (New York) | Primary |
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