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JAYASRI INDARAM MD

Allergy and Immunology

Ozone Park, New York

Provider NPI: 1255331302

Provider Information:
 JAYASRI  INDARAM MD


Practice Location:
9709 101ST AVE  OZONE PARK, NY 11416 US
Tel: 718-641-5555  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
NY193883

Other Provider Identifiers:

IssuerNumberStateType
01528252NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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