Individual
PAULINE KURIAKOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
3050 21ST ST APT 6J, ASTORIA, NY 11102-2877
(602) 471-3643
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431369
NY
Other
Enumeration date
08/07/2018
Last updated
12/02/2021
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