Organization
NASSAU MEDICAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAITANYA KADIYALA MD (CEO)
(212) 679-0009
Entity
Organization
Contact information
Practice address
270 DOUGHTY BLVD, INWOOD, NY 11096-1367
(212) 679-0009
Mailing address
PO BOX 383, GREENVALE, NY 11548-0383
(212) 679-0009
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
232151
NY
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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