| NPI Details | |
|---|---|
| NPI | 1033516745 |
| Gender | Female |
| Enumeration Date | 11/24/2014 |
| Last Updated | 11/24/2014 |
| Entity Type | Individual |
| Active | Over 3 years ago |
| Practice Location | |
|---|---|
| 147 HOOSICK ST TROY NY, 12180-2393, US |
|
| Phone | (518) 268-5749 |
| Fax | (518) 268-5706 |
| Business Location | |
|---|---|
| 147 HOOSICK ST TROY NY, 12180-2393, US |
|
| Phone | (518) 268-5749 |
| Fax | (518) 268-5706 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | New York |
| License Number | 030548 |
| Remove 1033516745 NPI Number | |
According to our database, Vijayadeepthi Vadarevu P.T. NPI is 1033516745, taxonomy code is 225100000X and license number is 030548, license state is located at New York. Vijayadeepthi Vadarevu P.T. physically located at 147 Hoosick St, Troy NY, 12180-2393. NPI Number Vijayadeepthi Vadarevu P.T. has the Individual type.
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1033516745 NPI number is provided on an as is basis without warranty of any kind. 1033516745 is maintained by the National Plan & Provider Enumeration System. The contents of Vijayadeepthi Vadarevu P.T. are for informational purposes only.
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