Individual
DR. REKHA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
100 NICOLLS RD RM 766, STONY BROOK, NY 11794-3216
(631) 444-3156
(631) 444-3424
Mailing address
100 NICOLLS RD RM 766, STONY BROOK, NY 11794-8691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
061612
NY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
061612
NY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DN21931
FL
Other
Enumeration date
07/20/2016
Last updated
02/24/2023
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