# VIDYA MEPPURATH NURSE PRACTITIONER IN ADULT HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184424731
- **Authorized official:** VIDYA MEPPURATH NP (OWNER)
- **Authorized official phone:** (516) 860-2122

## Contact information

- **Practice address:** 93 SAMPSON AVE, ALBERTSON, NY 11507-1707
- **Practice address phone:** (516) 860-1707
- **Mailing address:** 93 SAMPSON AVE, ALBERTSON, NY 11507-1707
- **Mailing address phone:** (516) 760-2122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2025
- **Last updated:** 07/09/2025