Individual
DR. SEETHA R MURUKUTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1384 VICTORY BLVD, STATEN ISLAND, NY 10301-3908
(718) 273-2277
(718) 273-3114
Mailing address
15 OLD FARMERS LN, STATEN ISLAND, NY 10304-1439
(718) 979-2523
(718) 273-3114
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
151450
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00899541
—
NY
01
—
2Z4511
EMPIREBC/BS PROVIDER ID #
NY
Enumeration date
08/05/2006
Last updated
10/06/2011
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