Individual
ANNAMMA ZACHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 HICKSVILLE RD UNIT 1732, MASSAPEQUA, NY 11758-8732
(516) 376-6726
Mailing address
1290 HICKSVILLE RD UNIT 1732, MASSAPEQUA, NY 11758-8732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
283583
NY
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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