Individual
MR. ANTO AYINIKAL PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
213 MONTAUK HWY, WEST SAYVILLE, NY 11796-1800
(631) 563-6205
Mailing address
100 QUENTIN ROOSEVELT BLVD STE 300, GARDEN CITY, NY 11530-4843
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
565842
NY
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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