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Organization
GREENWOOD MEDICAL SERVICES
Active
Organization
GREENWOOD MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABURAO DODDAPANENI M.D. (PAIN MANAGEMENT)
(718) 499-4995
Entity
Organization
Contact information
Practice address
668 5TH AVE, BROOKLYN, NY 11215-6305
(718) 499-4995
Mailing address
4 UNADILLA PL, GREENLAWN, NY 11740-3010
(718) 499-4995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
161503-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00899394
—
NY
Enumeration date
02/29/2008
Last updated
12/10/2010
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