Individual
MRS. ANNIE KORUTHU SABU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N, MS, NP-C
Contact information
Practice address
300 COMMUNITY DRIVE, NORTHSHORE UNIVERSITY HOSPITAL, MANHASSET, NY 11030-4271
(516) 327-6093
Mailing address
615 ALBERT ST, NEW HYDE PARK, NY 11040-4271
(516) 327-6093
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304453-1
NY
Other
Enumeration date
02/12/2008
Last updated
02/14/2008
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