Individual
AMEYA RAO BIRADAVOLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
638 E 2ND ST APT 5A, BROOKLYN, NY 11218-5626
(718) 483-0721
Mailing address
638 E 2ND ST APT 5A, BROOKLYN, NY 11218-5626
(718) 483-0721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122665-01
NY
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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