Individual
SANGEETHA MADHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 FULTON ST, DEER PARK, NY 11729-1616
(516) 416-1670
(516) 416-1670
Mailing address
33 FULTON ST, DEER PARK, NY 11729-1616
(516) 416-1670
(516) 416-1670
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406793
NY
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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