Individual
AMRUTHA KRISHNAKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-1653
(212) 289-6393
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021468
NY
Other
Enumeration date
10/16/2017
Last updated
05/18/2023
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