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Organization
MSSM(ELMHURST)
Active
Organization
MSSM(ELMHURST)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRIDEVI BELLAMKONDA (INTERNAL MEDICINE RESIDENT, PGY-III)
(302) 377-4312
Entity
Organization
Contact information
Practice address
8001 BROADWAY, ELMHURST, NY 11373-3160
(718) 334-2490
Mailing address
8015 41ST AVE APT 437, ELMHURST, NY 11373-1257
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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