Individual
MS. NEENU PUTHUSSERIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 NORTHERN BLVD, MANHASSET, NY 11030-3045
(516) 365-5570
Mailing address
25414 74TH AVE, GLEN OAKS, NY 11004-1106
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308787
NY
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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