Adusumilli, Divya
Adusumilli, Divya is an individual health care provider with primary practice located at 285 Fort Washington Ave Cd, New York NY 10032-1206. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Adusumilli, Divya can be contacted via phone (212) 795-9675.Contact Information
Primary practice address
285 Fort Washington Ave Cd
New York NY 10032-1206
Phone: (212) 795-9675
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 052896-1 | New York |
Profile Details
| NPI number | 1679795728 |
|---|---|
| LBN Legal business name | Adusumilli, Divya |
| Credentials | DD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1679795728 | NPPES |
| New York | MEDICAID | 02622604 | |
| New York | MEDICAID | 02820973 |
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