Individual
KUNJAMMA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
211 E 79TH ST, NEW YORK, NY 10021-0819
(212) 879-1600
(212) 988-3103
Mailing address
211 E 79TH ST, NY, NEW YORK, NY 10021-0819
(212) 879-1600
(212) 988-3103
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F303081
NY
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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