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Organization
SATISH TIYYAGURA
Active
Organization
SATISH TIYYAGURA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATISH TIYYAGURA MD (CEO)
(718) 815-1000
Entity
Organization
Contact information
Practice address
142 JORALEMON STREET, STE 11B, BROOKLYN, NY 11201-4709
(718) 815-1000
(718) 815-8122
Mailing address
302 MANOR RD, STATEN ISLAND, NY 10314-2408
(718) 815-1000
(718) 815-8122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
231396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231396
LIC
NY
Enumeration date
12/15/2010
Last updated
12/15/2010
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