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Individual

DR. ALICEKUTTY NELPURA JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
998 CROOKED HILL RD, W BRENTWOOD, NY 11717-1043
(631) 761-3127
Mailing address
26 KRISTI DR, JERICHO, NY 11753-1309
(516) 822-0241

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
233968
NY

Other

Enumeration date
10/18/2006
Last updated
07/08/2007
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