Individual
MS. PREETHI K NAIDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3505 VETERANS MEMORIAL HWY STE C, RONKONKOMA, NY 11779-7613
(631) 676-7656
(631) 676-7648
Mailing address
3505 VETERANS MEMORIAL HWY STE C, RONKONKOMA, NY 11779-7613
(631) 676-7656
(631) 676-7648
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011094
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
06/04/2007
Last updated
01/04/2024
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