Organization
HARLEM MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHA PENTYALA (DIRECTOR)
(631) 675-9300
Entity
Organization
Contact information
Practice address
506 MALCOLM X BLVD (LENOX AVE), NEW YORK, NY 10037-1802
(631) 675-9300
(631) 675-9301
Mailing address
45 RESEARCH WAY, SUITE 206, EAST SETAUKET, NY 11733-6401
(631) 675-9300
(631) 675-9301
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
09/02/2016
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