Avula, Jayashree
Avula, Jayashree is an individual health care provider with primary practice located at 355 Bard Ave Emergency Dept, Staten Island NY 10310-1664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Avula, Jayashree can be contacted via phone (718) 818-2055.Contact Information
Primary practice address
355 Bard Ave Emergency Dept
Staten Island NY 10310-1664
Phone: (718) 818-2055
Fax: (212) 356-4608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 149473 | New York |
Profile Details
| NPI number | 1205862661 |
|---|---|
| LBN Legal business name | Avula, Jayashree |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1205862661 | NPPES |
| New York | MEDICAID | 00914012 |
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