Individual
MRS. MARIAMMA KURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17 E 102ND ST, NEW YORK, NY 10029-5204
(212) 824-7690
(212) 426-7704
Mailing address
8805 30TH AVE, PH, EAST ELMHURST, NY 11369-1432
(718) 803-9045
(212) 426-7704
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F-302174-1
NY
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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