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General NPI Number Information
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NPI Number | 1992871032
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Entity Type | Individual
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Provider Name | SUMATHY REDDY M.D., F.A.A.F.P.
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 871 E PARK AVE
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City | LONG BEACH
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State | NY
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Zip | 11561-2709
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Country | US
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Telephone | 516-223-3117
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Fax | 516-431-1179
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Provider Business Mailing Address
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Address Line | 573 BARNARD AVE
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City | WOODMERE
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State | NY
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Zip | 11598-2709
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Country | US
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Telephone | 516-223-3117
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Fax | 516-431-1179
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 145530
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License Number State | NY
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