Individual
SUNDARA R SRIDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
1 TOWNLEY AVE, STATEN ISLAND, NY 10314-5635
(718) 494-0579
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
135673
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
135673
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00640217
—
NY
Enumeration date
07/25/2006
Last updated
09/11/2025
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