institution
Jayakumar Thotambilu, Physician, P.c.
Specialist in Fulton, New York
NPI 1457629453

Jayakumar Thotambilu, Physician, P.c. is a Specialist based in Fulton, NY. Jayakumar Thotambilu, Physician, P.c. practices in Fulton, NY. The NPI Number for Jayakumar Thotambilu, Physician, P.c. is 1457629453 and holds a License No. 001219 (New York).

The current practice location address for Jayakumar Thotambilu, Physician, P.c. is 522 S 4Th St, Fulton, NY and can be reached out via phone at 315-592-4000 and via fax at 315-593-3222.

Location: 522 S 4Th St, Fulton, NY, 13069-2946
institution
Provider Profile Details
NPI Number
1457629453
Provider Name
Jayakumar Thotambilu, Physician, P.c.
Credential
Provider Entity Type
Organization
Address
522 S 4Th St, Fulton, NY, 13069-2946
Phone Number
315-592-4000
Fax Number
315-593-3222
Provider Enumeration Date
12/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01805352 05 NY
institution
Provider Business Practice Location Address Details
Address
522 S 4Th St
City
State
Zip
13069-2946
Phone Number
315-592-4000
Fax Number
315-593-3222
person
Provider Business Mailing Address Details
Address
522 S 4Th St
City
State
Zip
13069-2946
Phone Number
315-592-4000
Fax Number
315-593-3222
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
001219 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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