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Individual

ANUPAMA YENNAMANDRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1430 3RD AVE, NEW YORK, NY 10028-1904
(917) 432-5403
Mailing address
1430 3RD AVE, NEW YORK, NY 10028-1904
(917) 432-5403

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV-007940
NY

Other

Enumeration date
10/28/2012
Last updated
06/17/2021
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