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Suresh Undavia, MD PLLC

Psychiatry & Neurology, Neurology in Vestal, NY. Organization (NPI-2).

NPI number1154582005
StatusActive
Last updated in NPPESJun 23, 2008

Details

NPI
1154582005
Entity type
Organization (NPI-2)
Legal business name
Suresh Undavia, MD PLLC
Organization subpart
No
Enumeration date
Jun 23, 2008
Last updated
Jun 23, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology122304NYYes

Other names

  • Suresh Undavia, MD PLLC (Doing Business As)

Practice location

114 Clayton Ave
Vestal, NY 13850-2430

Phone 607-785-4277 · Fax 607-785-3617

Mailing address

Po Box 645
Vestal, NY 13851-0645

Phone 607-785-4277

Authorized official

Suresh Undavia
Psychiatrist
6077854277

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