Individual
SOSAMMA ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79-25 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427
(718) 264-5700
Mailing address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 264-5700
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
599337
NY
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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