Individual
JAY LEKIREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-6159
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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