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Individual

GINA SUBTIRELU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
339 HICKS STREET, LONG ISLAND COLLEGE HOSPITAL, BROOKLYN, NY 11201
(718) 780-1707
Mailing address
49 S GATE, HICKSVILLE, NY 11801-3349
(516) 241-5038

Taxonomy

Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
219748-2
NY

Other

Enumeration date
01/08/2007
Last updated
08/12/2013
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