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Individual

ANN EAPEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
227 MADISON ST, GOUVERNEUR HEALTH, NEW YORK, NY 10002-7537
(212) 238-7444
Mailing address
227 MADISON ST, GOUVERNEUR HEALTH, NEW YORK, NY 10002-7537

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
237781
MA
207R00000X
Internal Medicine Physician
Primary
276953
NY

Other

Enumeration date
06/24/2008
Last updated
01/13/2015
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