Individual
AMALA PHANI CHIRUMAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
257 LAFAYETTE AVE, SUITE 300, SUFFERN, NY 10901-4830
(845) 368-0330
Mailing address
20 GRAND ST, 3RD FL, WARWICK, NY 10990-1035
(845) 987-3906
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245679
NY
207RC0000X
Cardiovascular Disease Physician
Primary
245679
NY
Other
Enumeration date
02/08/2007
Last updated
05/01/2015
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