Individual
MAMACHEN CHERIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Mailing address
PO BOX 826207, PHILADELPHIA, PA 19182-6207
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
238023
NY
Other
Enumeration date
01/31/2007
Last updated
03/07/2023
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