Pudusseri, Anita

Pudusseri, Anita is an individual health care provider with primary practice located at 5008 Brittonfield Pkwy , East Syracuse NY 13057-9248. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Pudusseri, Anita can be contacted via phone (315) 472-7504.

Contact Information

Primary practice address
5008 Brittonfield Pkwy East Syracuse NY 13057-9248
Phone: (315) 472-7504
Fax: (315) 634-4677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 294457 New York

Profile Details

NPI number 1487945564
LBN Legal business name Pudusseri, Anita
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2011
Last updated Sep 14th, 2018 - about 6 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 1487945564 NPPES
New York Other 294457 NYS LICENSE

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