Individual
ANITA SUNDARESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-1555
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-1555
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306695-1
NY
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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