Individual
DR. PRAMILA KUMARI KOLISETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2940 GRAND CONCOURSE, SUITE 1A, BRONX, NY 10458-2611
(718) 684-2516
(718) 684-2518
Mailing address
1 OAK WAY, SCARSDALE, NY 10583-1415
(718) 644-4529
(718) 684-2518
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
240104
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240104
LICENSE
NY
Enumeration date
07/03/2006
Last updated
04/03/2015
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