Individual
NITHYANANDINI NAMASSIVAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2655 RIDGEWAY AVE, SUITE 420, ROCHESTER, NY 14626-4296
(585) 723-7972
(585) 368-3119
Mailing address
2655 RIDGEWAY AVE, SUITE 420, ROCHESTER, NY 14626-4296
(585) 723-7972
(585) 368-3119
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
214876
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01991120
—
NY
Enumeration date
01/03/2006
Last updated
12/16/2022
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