Individual
DR. DEVI S REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
732 E PARK AVE, LONG BEACH, NY 11561-2605
(516) 431-2064
(516) 431-1090
Mailing address
732 E PARK AVE, LONG BEACH, NY 11561-2605
(516) 431-2064
(516) 431-1090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
126326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00507204
—
NY
Enumeration date
12/13/2007
Last updated
12/13/2007
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