Individual
DR. MARY CHERIAN PALATHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6205
Mailing address
2898 OCEAN AVE, RONKONKOMA, NY 11779-5024
(631) 467-9186
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
244354
NY
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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