Individual
SREE CHIRUMAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, SUITE 1400, HAWTHORNE, NY 10532-2144
(914) 493-7513
(914) 493-1281
Mailing address
22 SAW MILL RIVER RD, 2ND FLOOR, HAWTHORNE, NY 10532-1533
(914) 593-7513
(914) 493-1281
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
256469
NY
2080P0203X
Pediatric Critical Care Medicine Physician
R5100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02717802
—
NY
Enumeration date
07/29/2005
Last updated
01/27/2021
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