Kodali, Leela

Kodali, Leela is an individual health care provider with primary practice located at 444 Hillside Ave , Williston Park NY 11596-2109. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kodali, Leela can be contacted via phone (516) 742-0833.

Contact Information

Primary practice address
444 Hillside Ave Williston Park NY 11596-2109
Phone: (516) 742-0833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 042681 New York

Profile Details

NPI number 1245411974
LBN Legal business name Kodali, Leela
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2007
Last updated Nov 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245411974 NPPES
New York MEDICAID 01020891

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