Individual
AKHILA PANICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
506 TUDOR HL, NANUET, NY 10954-5936
(845) 893-2535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
353540
NY
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
F353540
NY
Other
Enumeration date
04/08/2024
Last updated
05/13/2024
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