Individual
MADIREDDY V SUBBAREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14015 SANFORD AVE, FLUSHING, NY 11355-2557
(718) 670-6400
(718) 640-6479
Mailing address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
112106
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00202584
—
NY
Enumeration date
07/18/2006
Last updated
07/08/2007
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