Individual
KAVITA MADDUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 LORRAINE AVE, MOUNT VERNON, NY 10553-1222
(914) 663-7070
Mailing address
1 VINCENT RD APT 1H, BRONXVILLE, NY 10708-6524
(914) 648-5030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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