Reddy, Sumathy

Reddy, Sumathy is an sole proprietor health care provider with primary practice located at 871 E Park Ave , Long Beach NY 11561-2709. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Reddy, Sumathy can be contacted via phone (516) 223-3117.

Contact Information

Primary practice address
871 E Park Ave Long Beach NY 11561-2709
Fax: (516) 431-1179
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 145530 New York

Profile Details

NPI number 1992871032
LBN Legal business name Reddy, Sumathy
Credentials M.D., F.A.A.F.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Mar 14th, 2023 - about last year

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 1992871032 NPPES
New York Other 145530 LICENSE NUMBER
New York MEDICAID 00720829 LICENSE NUMBER

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