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Individual

MS. NISHA E ARIKUPURATHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
8906 135TH ST, SUITE 6A, JAMAICA, NY 11418-2821
(718) 206-6808
Mailing address
74 LAUREL DR, NEW HYDE PARK, NY 11040-2046

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
572697
NY
176B00000X
Midwife
F001343
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03484791
NY
Enumeration date
02/01/2010
Last updated
07/06/2024
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