Individual
ANNA KURIAKOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 580-0404
Mailing address
131 THOMAS DR, PARAMUS, NJ 07652-4520
(201) 790-1018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024536
NY
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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