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Individual
INDRANI NATH
Active
Individual
INDRANI NATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
586545
NY
163WA2000X
Administrator Registered Nurse
586545
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
586545
NY
273R00000X
Psychiatric Hospital Unit
586545
NY
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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