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Organization

TELLANID INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIDHIN SAMUEL (OWNER)
(315) 203-8245
Entity
Organization

Contact information

Practice address
601 W 26TH ST, 3RD FLOOR, STE 357, DPT# 24061, NEW YORK, NY 10001-2923
(631) 891-7773
Mailing address
601 W 26TH ST, 3RD FLOOR, STE 357, DPT# 24061, NEW YORK, NY 10001-2923
(631) 891-7773

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
01/29/2022
Last updated
02/19/2022
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