Reddy, Devi S
Reddy, Devi S is an sole proprietor health care provider with primary practice located at 732 E Park Ave , Long Beach NY 11561-2605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reddy, Devi S can be contacted via phone (516) 431-2064.Contact Information
Primary practice address
732 E Park Ave
Long Beach NY 11561-2605
Phone: (516) 431-2064
Fax: (516) 431-1090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 126326 | New York |
Profile Details
| NPI number | 1932382975 |
|---|---|
| LBN Legal business name | Reddy, Devi S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2007 |
| Last updated | Dec 13th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932382975 | NPPES |
| New York | MEDICAID | 00507204 |
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