Individual
DR. DEEPTHA NEDUNCHEZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
514 49TH ST, BROOKLYN, NY 11220-2010
(718) 431-2600
(718) 436-7810
Mailing address
514 49TH ST, BROOKLYN, NY 11220-2010
(718) 431-2600
(718) 436-7810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
140066
NY
207RI0200X
Infectious Disease Physician
Primary
140066
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01473972
—
NY
Enumeration date
07/20/2006
Last updated
12/29/2014
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