Individual
NITYANANDA PODDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19617 HILLSIDE AVE, HOLLIS, NY 11423-2124
(718) 479-3900
(718) 479-1014
Mailing address
19617 HILLSIDE AVE, HOLLIS, NY 11423-2124
(718) 479-3900
(718) 479-1014
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
237571
NY
Other
Enumeration date
05/23/2006
Last updated
08/11/2009
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