Individual
ANJALI DEVI THANGAVELU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2 ACORN LANE, LEVITTOWN, NEW YORK, NY 11756
(917) 362-2831
Mailing address
2 ACORN LANE, LEVITTOWN, NEW YORK, NY 11756
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309364
NY
363LG0600X
Gerontology Nurse Practitioner
F309364
NY
363LP2300X
Primary Care Nurse Practitioner
F309364
NY
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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