Individual
MRS. JINCY VARGHESE MAMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 COMMUNITY DR, MANHASSET, NY 11030-3802
(516) 734-7000
Mailing address
1844 MIDLAND DR, EAST MEADOW, NY 11554-5024
(516) 302-3355
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
364SF0001X
NY
Other
Enumeration date
08/31/2012
Last updated
09/19/2012
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