National Provider Identifier
Sampath Neerukonda, M.D.
Sampath Neerukonda, M.D. is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Hornell, NY and a listed phone number of (607) 324-3580.
Profile Overview
- NPI
- 1801842919
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- May 26, 2006
- Last Updated
- August 12, 2008
Practice Location
- 476 Canisteo St
- Hornell, NY 14843-9768
Phone: (607) 324-3580
Mailing Address
- 111 E 14Th St
- Elmira, NY 14903-1303
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1801842919
- Entity Type
- Individual
- Last Name
- Neerukonda
- First Name
- Sampath
- Credential
- M.D.
- Mailing Street Address
- 111 E 14Th St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14903-1303
- Mailing Country
- US
- Mailing Phone
- (607) 734-9539
- Mailing Fax
- (607) 734-6293
- Practice Street Address
- 476 Canisteo St
- Practice City
- Hornell
- Practice State
- NY
- Practice ZIP Code
- 14843-9768
- Practice Country
- US
- Practice Phone
- (607) 324-3580
- Practice Fax
- (607) 324-3998
- Enumeration Date
- May 26, 2006
- Last Updated
- August 12, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)
- Other Identifiers
- 01488462 (NY)