Naidu, Preethi K

Naidu, Preethi K is an individual health care provider with primary practice located at 3505 Veterans Memorial Hwy Ste C , Ronkonkoma NY 11779-7613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Naidu, Preethi K can be contacted via phone (631) 676-7656.

Contact Information

Primary practice address
3505 Veterans Memorial Hwy Ste C Ronkonkoma NY 11779-7613
Phone: (631) 676-7656
Fax: (631) 676-7648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 011094 New York

Profile Details

NPI number 1336341023
LBN Legal business name Naidu, Preethi K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Jan 4th, 2024 - about 10 months 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 1336341023 NPPES
New York MEDICAID 00246075

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