Individual
NIMMY VALLAVANATTE MARTINUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6820
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6820
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310295
NY
Other
Enumeration date
09/27/2021
Last updated
01/03/2022
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