MEDICARE: DR. DEEPTHA NEDUNCHEZIAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	140066	NY
2	207R00000X	Internal Medicine Physician	140066	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487674396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEEPTHA NEDUNCHEZIAN M.D.

Provider Business Mailing Address
First Line	:	514 49TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2010
Country	:	US
Telephone Number	:	718-431-2600
Fax Number	:	718-436-7810

Provider Business Practice Location Address
First Line	:	514 49TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2010
Country	:	US
Telephone Number	:	718-431-2600
Fax Number	:	718-436-7810

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	12/29/2014

Similar Medicare Providers

1285476598 — BIANCA VEKIMA DDS
Practice Location Address:

514 49TH ST
BROOKLYN, NY
11220-2010

Practice Phone: 718-630-7942
Practice Fax:

1821090663 — DR. MARK U ALVARADO MD
Practice Location Address:

514 49TH ST , SUNSET TERRACE FAMILY HEALTH CENTER
BROOKLYN, NY
11220-2010

Practice Phone: 718-437-5235
Practice Fax: 718-437-5239

1194760926 — MS. AMANDA LEE GROPP LCSW
Practice Location Address:

514 49TH ST
BROOKLYN, NY
11220-2010

Practice Phone: 718-437-5274
Practice Fax:

1255437125 — DR. ELIZABETH SIROTA M.D.
Practice Location Address:

514 49TH ST , SUNSET TERRACE FAMILY HEALTH CENTER
BROOKLYN, NY
11220-2010

Practice Phone: 718-437-2642
Practice Fax: 718-437-5239

1801997671 — DR. YANA SEROBYAN DO
Practice Location Address:

514 49TH ST
BROOKLYN, NY
11220-2010

Practice Phone: 718-431-2647
Practice Fax: 718-435-8510

1013089135 — ROBERT JUDEM-CAUTIN I LCSW
Practice Location Address:

514 49TH ST , LUTHERAN HOSPITAL
BROOKLYN, NY
11220-2010

Practice Phone: 718-431-2641
Practice Fax: 718-437-5239

Directions to “ DR. DEEPTHA NEDUNCHEZIAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.