Individual
MRS. MAMITA SAIKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4007
Mailing address
20919 34TH AVE, BAYSIDE, NY 11361-1422
(347) 408-4607
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304486-1
NY
Other
Enumeration date
05/30/2011
Last updated
09/20/2011
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