Individual
DR. MADHUVANTHI SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
530 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-6159
(646) 501-9872
Mailing address
700 HICKSVILLE RD STE 205, BETHPAGE, NY 11714-3472
(646) 501-3229
(212) 263-4539
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025745-01
NY
Other
Enumeration date
07/14/2019
Last updated
01/30/2025
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