Organization
SURESH UNDAVIA, MD PLLC
Active
Other names
Suresh Undavia, MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH UNDAVIA MD PLLC (PSYCHIATRIST)
(607) 785-4277
Entity
Organization
Contact information
Practice address
114 CLAYTON AVE, VESTAL, NY 13850-2430
(607) 785-4277
(607) 785-3617
Mailing address
PO BOX 645, VESTAL, NY 13851-0645
(607) 785-4277
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
122304
NY
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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