Individual
MRS. KAMALAM NANDAKUMAR MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 MAPLE AVE, WARWICK, NY 10990-1028
(845) 986-9979
(845) 986-9764
Mailing address
20 GRAND ST, 3RD FLOOR, WARWICK, NY 10990-1035
(845) 987-3972
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
NY-175436
NY
Other
Enumeration date
02/21/2007
Last updated
04/01/2010
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