Individual
DR. SINDHURA MANUBOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
36-11 21ST ST, LONG ISLAND CITY, NY 11106-4505
(718) 482-7772
(718) 482-9648
Mailing address
60 MADISON AVE FL 5, NEW YORK, NY 10010-1600
(212) 545-2400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP1-0040878
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
276665
NY
Other
Enumeration date
07/20/2011
Last updated
10/13/2023
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