Individual
DEENA MALIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1100
Mailing address
750 HAMMOND DR STE 100, ATLANTA, GA 30328-5532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F340730
NY
Other
Enumeration date
08/05/2016
Last updated
01/30/2023
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