Individual
MRS. KOCHURANI SHAJI JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 JEANNES PL, TAPPAN, NY 10983-2215
(845) 613-7533
Mailing address
1 JEANNES PL, TAPPAN, NY 10983-2215
(845) 613-7533
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305158-1
NY
Other
Enumeration date
07/09/2009
Last updated
08/23/2012
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