Organization
ALLIEDMEDIX RESOURCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRAMOULI L METTAPALLI COTA (EXECUTIVE DIRECTOR)
(718) 593-4121
Entity
Organization
Contact information
Practice address
3100 47TH AVE, SUITE 2120 D SECOND FLOOR, LONG ISLAND CITY, NY 11101-3013
(718) 593-4121
(718) 268-2646
Mailing address
3100 47TH AVE, SUITE 2120D SECOND FLOOR, LONG ISLAND CITY, NY 11101-3013
(718) 593-4121
(718) 268-2646
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
69300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69300
—
NY
Enumeration date
03/12/2009
Last updated
03/30/2017
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