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Individual

MASTAN LOKIREDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 BROOKDALE PLAZA, BROOKLYN, NY 11212
(718) 240-5000
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
287405
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/04/2014
Last updated
02/08/2018
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