Individual
ELIZABETH KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
203 GRAMATAN AVE STE A, MOUNT VERNON, NY 10550-1291
(914) 202-4830
(914) 202-4834
Mailing address
15 WARD DR, NYACK, NY 10960-2735
(845) 596-4874
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023737
NY
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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