Individual
CHITRA SUKUMARAN NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(516) 359-9684
Mailing address
8810 247TH ST, BELLEROSE, NY 11426-1614
(516) 359-9684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
339213
NY
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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