LEGACY MEDICAL PLLC
Osteopathic Medicine at 57 St, New York, NY

License number
New York 06235963
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: MADHU BOPPANA M.D.
Title: OWNER
Phone: (347) 541-1929
Address
Address
W 57Th St STE 505, New York, NY 10019
National Provider ID: 1144577164
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LEGACY MEDICAL PLLC at bizstanding.com

LEGACY MEDICAL PLLC

237 W 19 St APT A, New York, NY 10011

Doing business as:
MADHU BOPPANA M.D., PLLC
Registration:
Jul 12, 2004
State ID:
3076611
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Agent:
Corporation Service Company,80 State St, Albany, NY 12207 (Physical)

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