Organization
S.N.MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALAKRISHNA NULI M.D (PRESIDENT)
(718) 250-8992
Entity
Organization
Contact information
Practice address
121 DEKALB AVE, SUITE 11E, BROOKLYN, NY 11201-5425
(718) 250-8866
(718) 250-8931
Mailing address
10 RODEO DR, SYOSSET, NY 11791-2209
(516) 921-8150
(718) 250-8931
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
113659
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00207070
—
NY
Enumeration date
05/25/2007
Last updated
08/22/2020
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