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Individual

DR. MAITHREYI VALLABHAJOSYULA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
110 BROOK ST, SCARSDALE, NY 10583-5136
(914) 723-1641
(914) 723-5468
Mailing address
110 BROOK ST, SCARSDALE, NY 10583-5136
(914) 723-1641
(914) 723-5468

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV 7688
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TUV 7688
LICENSE NUMBER
NY
Enumeration date
08/08/2011
Last updated
08/08/2011
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