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Individual

MISS SUNU KORUTHU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-3618
Mailing address
3217 83RD ST, EAST ELMHURST, NY 11370-2007
(718) 651-6765

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
012177
NY

Other

Enumeration date
04/19/2007
Last updated
07/08/2007
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