Organization
METROPOLITAN MEDICAL PRACTICE PLAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHA PENTYALA (DIRECTOR)
(631) 675-9300
Entity
Organization
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(212) 423-7337
(212) 423-6318
Mailing address
234 E 149TH ST, SUITE 8D-200, BRONX, NY 10451-5504
(718) 579-6017
(718) 579-6060
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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