Individual
SANTHI CHILUKURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6500
Mailing address
126 CENTRAL AVE, APT 1R, BROOKLYN, NY 11221-2702
(502) 382-7057
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
018050-1
NY
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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