MEDICARE: STANLEY SEETARAM ANCILLARY PROVIDER

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	246RP1900X	Phlebotomy Technician	NO LICENSE NUMBER

General Provider Information

NPI Number	:	1003280470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STANLEY SEETARAM ANCILLARY PROVIDER

Provider Business Mailing Address
First Line	:	1263 FTELEY AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-2801
Country	:	US
Telephone Number	:	347-743-8258
Fax Number	:

Provider Business Practice Location Address
First Line	:	1263 FTELEY AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-2801
Country	:	US
Telephone Number	:	347-743-8258
Fax Number	:

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

Provider Enumeration Date	:	11/21/2015
Last Update Date	:	11/21/2015

Similar Medicare Providers

1508846585 — DR. ARED GARAN M.D.
Practice Location Address:

627 E 233RD ST
BRONX, NY
10466-2801

Practice Phone: 718-231-2200
Practice Fax:

1669438875 — MAHMOOD MEHDI KAZMI
Practice Location Address:

3329 BAINBRIDGE AVE
BRONX, NY
10467-2801

Practice Phone: 718-515-4347
Practice Fax: 718-653-8641

1790726982 — DR. DOMINIQUE M. JAN MD
Practice Location Address:

3355 BAINBRIDGE AVE
BRONX, NY
10467-2801

Practice Phone: 718-920-7200
Practice Fax: 718-547-2929

1235174616 — GOBIKRISHNA PHYSICIAN PC
Practice Location Address:

623 E 233RD ST
BRONX, NY
10466-2801

Practice Phone: 718-325-5368
Practice Fax:

1447295845 — ARIARATNAM GOBIKRISHNA
Practice Location Address:

623 E 233RD ST
BRONX, NY
10466-2801

Practice Phone: 914-345-8015
Practice Fax:

1336153303 — DR. RONALD ST LOUIS MD
Practice Location Address:

3327 BAINBRIDGE AVE
BRONX, NY
10467-2801

Practice Phone: 718-324-6365
Practice Fax: 718-881-5700

Directions to “ STANLEY SEETARAM ANCILLARY PROVIDER” 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.