# ENDO-METABOLIC PRACTICE PLLC

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

## Provider details

- **NPI number:** 1457587529
- **Authorized official:** DR. SESHADRI DAS M.,D, (OWNER/PRESIDENT)
- **Authorized official phone:** (718) 273-5522

## Contact information

- **Practice address:** 47 LITTLE CLOVE RD, STATEN ISLAND, NY 10301-4306
- **Practice address phone:** (718) 273-5522
- **Practice address fax:** (718) 273-6522
- **Mailing address:** 47 LITTLE CLOVE RD, STATEN ISLAND, NY 10301-4306
- **Mailing address phone:** (718) 273-5522
- **Mailing address fax:** (718) 273-6522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 1578461 | NY | Yes |

## Other

- **Enumeration date:** 06/03/2009
- **Last updated:** 06/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00846199 | — | NY |