Individual
ANSA SAJI KANDAMKULATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CNN,FNP-BC
Contact information
Practice address
14 FINCH RD, NEW CITY, NY 10956-6311
(845) 270-5081
Mailing address
14 FINCH RD, NEW CITY, NY 10956-6311
(845) 270-5081
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
345853
NY
Other
Enumeration date
10/01/2020
Last updated
08/26/2021
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