Individual
GODSY RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(516) 562-0100
Mailing address
20906 82ND AVE, QUEENS VILLAGE, NY 11427-1020
(631) 202-9859
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
256411
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
151838
NY
Other
Enumeration date
06/12/2024
Last updated
01/17/2025
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