Organization
CNY PAIN MANAGEMENT MEDICAL SUITE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHESH REDDY KUTHURU MD (PRESIDENT)
(315) 593-7715
Entity
Organization
Contact information
Practice address
59 SOUTH FIRST STREET, FULTON, NY 13069
(315) 593-7715
(315) 593-1495
Mailing address
59 SOUTH FIRST STREET, FULTON, NY 13069
(315) 593-7715
(315) 593-1495
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
215662
NY
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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