Mamatha Sundaresh MD

NPI #1346556792 in Flushing, New York

Provider Information

NPI Number: 1346556792
Entity Type: Organization
Organization Name: Mamatha Sundaresh MD
Primary Specialty: Pediatrics
Enumeration Date: Aug 24, 2010
Last Updated: Aug 24, 2010

Practice Location

Address: 149-45 NORTHERN BLVD
City: Flushing
State: New York
ZIP Code: 11354
Phone: (718) 353-8348

Authorized Official

Name: DR. MAMATHA SUNDARESH, MD
Title: OWNER
Phone: (718) 353-8348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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