Individual
VIKRANTH CHOUDARY POTLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 432-3600
Mailing address
422 QUENTIN RD, UTICA, NY 13502-5923
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
125627-01
NY
Other
Enumeration date
06/09/2025
Last updated
04/05/2026
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