Individual
STANLEY SEETARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANCILLARY PROVIDER
Contact information
Practice address
1263 FTELEY AVE, BRONX, NY 10472-2801
(347) 743-8258
Mailing address
1263 FTELEY AVE, BRONX, NY 10472-2801
(347) 743-8258
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
NO LICENSE NUMBER
—
Other
Enumeration date
11/21/2015
Last updated
11/21/2015
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