# NEW YORK MEDICAL PRACTICE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043769300
- **Authorized official:** CHAITANYA KADIYALA MD (OWNER)
- **Authorized official phone:** (646) 355-4450

## Contact information

- **Practice address:** 9413 FLATLANDS AVE, BROOKLYN, NY 11236-3726
- **Practice address phone:** (646) 355-4450
- **Mailing address:** 565 PLANDOME RD UNIT 286, MANHASSET, NY 11030-1945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | CERT\# 4168 | NY | Yes |

## Other

- **Enumeration date:** 09/28/2016
- **Last updated:** 04/12/2017