Individual
JESSY KURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4725
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4725
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401139-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01666971
—
NY
Enumeration date
12/18/2006
Last updated
08/15/2011
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