Organization
D S REDDY PHYSICIAN P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVI SRINIVAS REDDY MD (PRESIDENT)
(516) 431-2064
Entity
Organization
Contact information
Practice address
732 EAST PARK AVE, LONG BEACH, NY 11561
(516) 431-2064
(516) 431-1090
Mailing address
732 EAST PARK AVE, LONG BEACH, NY 11561
(516) 431-2064
(516) 431-1090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
126326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00507204
—
NY
Enumeration date
03/28/2006
Last updated
12/03/2007
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