Individual
NAMRATHA JAMPANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 MARYS AVE, KINGSTON, NY 12401-5829
(845) 338-2500
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(402) 320-1876
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
01/05/2026
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