Individual
DR. SRINIVAS H REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 PELHAM PKWY S.,, BLDG #1, SUITE 1213 JACOBI MEDICAL CENTER, BRONX, NY 10461
(718) 918-5598
(718) 918-5593
Mailing address
75 BACON RD, OLD WESTBURY, NY 11568-1502
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
250429
NY
2086S0102X
Surgical Critical Care Physician
250429
NY
2086S0127X
Trauma Surgery Physician
Primary
250429
NY
Other
Enumeration date
07/15/2009
Last updated
03/19/2015
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