Individual
ANUJA KORLIPARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 BELLE TERRE RD, SUITE E140, PORT JEFFERSON, NY 11777
(631) 474-6879
(631) 474-6448
Mailing address
200 BELLE TERRE RD, SUITE E140, PORT JEFFERSON, NY 11777
(631) 474-6879
(631) 474-6448
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
223984
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02432093
—
NY
Enumeration date
10/10/2006
Last updated
07/08/2007
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