Organization
INDIA HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASUNDHARA DEVI KALASAPUDI M.D (C.E.O)
(516) 859-5125
Entity
Organization
Contact information
Practice address
4331 39TH ST, SUNNYSIDE, NY 11104-4316
(917) 288-7600
(718) 425-0891
Mailing address
6955 260TH PL, FLORAL PARK, NY 11004-1009
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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