Reddy Bezwada

NPI 1669408290 - Psychologist - 103T00000X

NPI Details
NPI 1669408290
Gender Male
Enumeration Date 06/24/2006
Last Updated 06/24/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
327 BEACH 19TH ST
FAR ROCKAWAY NY, 11691-4423, US
Phone (631) 789-5083
Fax
Business Location
48 DOLPHIN LN E
COPIAGUE NY, 11726-5413, US
Phone
Fax
Toxanomy
Taxonomy Code 103T00000X
License State New York
License Number 201014
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According to our database, Reddy Bezwada NPI is 1669408290, taxonomy code is 103T00000X and license number is 201014, license state is located at New York. Reddy Bezwada physically located at 327 Beach 19th St, Far Rockaway NY, 11691-4423. NPI Number Reddy Bezwada has the Individual type.

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1669408290 NPI number is provided on an as is basis without warranty of any kind. 1669408290 is maintained by the National Plan & Provider Enumeration System. The contents of Reddy Bezwada are for informational purposes only.