Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 263882 | NY |
NPI | 1669750907 |
---|---|
Provider Name | Dr. Nirmala Pillalamarri |
First Address | Great Neck, NY 11021-5335 |
Second Address | Great Neck, NY 11021-5335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2011 |
Last Update Date | 27/02/2013 |