Organization
CATSKILL PHYSICAL MEDICINE & PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAMILA KUMARI KOLISETTY MD (PHYSICIAN)
(718) 644-4529
Entity
Organization
Contact information
Practice address
2940 GRAND CONCOURSE, SUITE 1A, BRONX, NY 10458-2611
(718) 684-2516
(718) 684-2518
Mailing address
PO BOX 2157, MONROE, NY 10949-7157
(718) 644-4529
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
240104
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02833778
—
NY
Enumeration date
07/09/2007
Last updated
03/31/2011
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