Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 241139 | NY |
Y | 111NI0900X | Internist | 241139 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 241139 | NY |
N | 207RH0003X | Hematology & Oncology | 241139 | NY |
NPI | 1124198833 |
---|---|
Provider Name | Nagashree Seetharamu |
First Address | New Hyde Park, NY 11040 |
Second Address | New Hyde Park, NY 11040-1402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 02/02/2015 |