Individual
KALAVATHI KALESWARAREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 OAK DR, NEW HYDE PARK, NY 11040-3314
(718) 877-9198
Mailing address
5 OAK DR, NEW HYDE PARK, NY 11040-3314
(718) 877-9198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
445533
NY
363L00000X
Nurse Practitioner
Primary
F430132
NY
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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