Individual
AMITH KISHORE VATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3110 QUEENS BLVD, SUITE 301, LONG ISLAND CITY, NY 11101-3002
(718) 593-4121
Mailing address
3110 QUEENS BLVD, SUITE 301, LONG ISLAND CITY, NY 11101-3002
(718) 593-4121
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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