Individual
RESMI S KURUMUNDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 WADSWORTH AVE, NEW YORK, NY 10033-7034
(914) 462-8254
Mailing address
125 OLD COLONY RD, HARTSDALE, NY 10530-3610
(914) 462-8254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F347352-01
NY
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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