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Individual

ALEYAMMA JOHN X

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
181 CANAL ST FL 4, NEW YORK, NY 10013-4512
(212) 966-9537
Mailing address
31 GLEN AVE, PORT CHESTER, NY 10573-2633
(914) 320-9261

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F403079-01
NY

Other

Enumeration date
08/08/2020
Last updated
08/08/2020
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