Provider Demographics
NPI:1851047294
Name:DURGA POSINA PHYSICIAN PC
Entity Type:Organization
Organization Name:DURGA POSINA PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DURGA
Authorized Official - Middle Name:SUNITHA
Authorized Official - Last Name:POSINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-915-8628
Mailing Address - Street 1:320 LAKE AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-2255
Mailing Address - Country:US
Mailing Address - Phone:732-915-8628
Mailing Address - Fax:
Practice Address - Street 1:320 LAKE AVE STE 4
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-2255
Practice Address - Country:US
Practice Address - Phone:732-915-8628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty