Individual
MRS. KANJANAR PARUCHABUTR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
63 WALNUT RD, INWOOD, NY 11096-1117
(516) 371-2635
Mailing address
162 COLLINS AVE, WILLISTON PARK, NY 11596-1612
(516) 294-6968
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
4849889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01215329
—
NY
Enumeration date
06/15/2007
Last updated
07/08/2007
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