Individual
JAYASHREE AVULA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
355 BARD AVE, EMERGENCY DEPT, STATEN ISLAND, NY 10310-1664
(718) 818-2055
(212) 356-4608
Mailing address
355 BARD AVE, EMERGENCY DEPT, STATEN ISLAND, NY 10310-1664
(718) 818-2055
(212) 356-4608
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
149473
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00914012
—
NY
Enumeration date
06/25/2006
Last updated
07/08/2007
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