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Organization

JAIKUMAR RAVUNNIARATH MEDICAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAIKUMAR RAVUNNIARATH MENON MD (OWNER)
(845) 594-8895
Entity
Organization

Contact information

Practice address
NEW PALTZ CENTER FOR REHAB AND NURSING, 1 JANSEN ROAD, NEW PALTZ, NY 12561-3811
(845) 255-0830
Mailing address
38 WILDWOOD DR, POUGHKEEPSIE, NY 12603-5828
(845) 594-8895

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
251537
NY

Other

Enumeration date
11/11/2017
Last updated
11/05/2024
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