NPI 1013413400

Nagendranath Nandivada

Practitioner Health Educator Staten Island, NY

Practice location

Address: 113 Fieldstone Rd, Staten Island, NY 10314-3275
Phone: (718) 370-3076
Fax: (718) 370-3076

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1013413400
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2018
Record last updated: 4 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.