Individual
KSHAMA BARAICHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 LEXINGTON AVE, MOHEGAN LAKE, NY 10547-1273
(914) 528-2000
Mailing address
3550 LEXINGTON AVE, MOHEGAN LAKE, NY 10547-1273
(914) 528-2000
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
816139
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
312809
NY
Other
Enumeration date
07/22/2025
Last updated
05/11/2026
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