SHIJU MADATHINAKATH JOSE

STATEN ISLAND, NY
NPI1043856248
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY  763290)
Enumeration Date2019-11-22
Last Update Date2019-11-22
Business Address
SHIJU MADATHINAKATH JOSE RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2508
Mailing Address
SHIJU MADATHINAKATH JOSE RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2508
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