Individual
MRS. ANITHA MATHEW MEENAMGATTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 464-7500
Mailing address
74 LANDAU AVE, ELMONT, NY 11003-1918
(516) 270-7381
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
613377
NY
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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