Individual
DR. SUKANYA MADAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
3345 94TH ST, STE. 1J, JACKSON HEIGHTS, NY 11372-1943
(718) 429-2186
(718) 429-3225
Mailing address
21 HARBOR LN, SAINT JAMES, NY 11780-4243
(631) 240-7288
(631) 366-5296
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005726-1
NY
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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