Individual
KAVISYA CHERUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
257 FLATBUSH AVE, BROOKLYN, NY 11217-1066
(718) 838-9445
(212) 202-7988
Mailing address
257 FLATBUSH AVE, BROOKLYN, NY 11217-1066
(718) 838-9445
(212) 202-7988
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
317465
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
06/27/2022
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