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1043979123
SOUMIA AJITH AVARACHAN
JAMAICA, NY
NPI
1043979123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F345869-01)
Enumeration Date
2021-12-15
Last Update Date
2021-12-15
Business Address
Mrs. SOUMIA AJITH AVARACHAN NP
8268 164TH ST
JAMAICA, NY 11432-1104
Phone number: 718-883-3000
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Mailing Address
Mrs. SOUMIA AJITH AVARACHAN NP
8268 164TH ST
JAMAICA, NY 11432-1104
Phone number: 718-883-3000
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