Individual
MRS. LORENCY VARGHESE PRAKUZHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
622 WEST 168TH STREET, NEW YORK, NY 10032-3720
(201) 439-1266
Mailing address
630 WEST 168TH STREET,, BOX 4 NEW YORK,, NY 10032-3725
(212) 342-5554
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00250200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
305246
NY
Other
Enumeration date
12/01/2009
Last updated
05/11/2012
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