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Individual

MR. ANANTHA R REDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

Contact information

Practice address
2527 VALENTINE AVE, 3WA, BRONX, NY 10458
(718) 365-2603
Mailing address
360 EAST 194 STREET, GROUND FLOOR, BRONX, NY 10458-4525
(718) 365-2603

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F341186
NY

Other

Enumeration date
11/03/2011
Last updated
10/03/2017
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