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Jaya Raju, BS

NPI 1043521826 · on the registry since 2010 · sole proprietor

Practice

Address
100 Kenilworth Ave
Staten Island, NY 10312
Phone
(718) 967-4692

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-06-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York