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Organization

PREHEALTHCARE MANAGEMENT ASSOCIATES INC.

Active
Parent organization
PREHEALTHCARE MANAGEMENT ASSOCIATES INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PREHEALTHCARE MANAGEMENT ASSOCIATES INC
Authorized official
SHANTA MALLIKARJUNA (PRESIDENT/MANAGER)
(516) 487-5858
Entity
Organization

Contact information

Practice address
307 E SHORE RD FL 2, GREAT NECK, NY 11023-2420
(516) 487-5858
(516) 487-3133
Mailing address
307 E SHORE RD FL 2, GREAT NECK, NY 11023-2420
(516) 487-5858
(516) 487-3133

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
12/03/2010
Last updated
12/03/2010
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