Organization
MAMATHA SUNDARESH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAMATHA SUNDARESH MD (OWNER)
(718) 353-8348
Entity
Organization
Contact information
Practice address
149-45 NORTHERN BLVD, FLUSHING, NY 11354
(718) 353-8348
Mailing address
149-45 NORTHERN BLVD, FLUSHING, NY 11354
(718) 353-8348
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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