Individual
KAVITHA BINU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 ADAMS ST, DEER PARK, NY 11729-3028
(631) 889-3703
Mailing address
207 ADAMS ST, DEER PARK, NY 11729-3028
(631) 889-3703
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG05190061
NY
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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