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DR. MRUDULA PREMKUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
160 N MIDLAND AVE, NYACK, NY 10960-1912
(973) 615-6662
Mailing address
61 DAVIS AVE APT Q, WHITE PLAINS, NY 10605-1009
(973) 615-6662

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
299538
NY

Other

Enumeration date
08/22/2016
Last updated
02/14/2020
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