Provider Demographics
NPI:1346748498
Name:PISIPATI, SUNITHA (BS)
Entity Type:Individual
Prefix:MS
First Name:SUNITHA
Middle Name:
Last Name:PISIPATI
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 CARNATION DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-7009
Mailing Address - Country:US
Mailing Address - Phone:516-321-0312
Mailing Address - Fax:
Practice Address - Street 1:204 CARNATION DR
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-7009
Practice Address - Country:US
Practice Address - Phone:516-321-0312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-24
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information