DEVICA MATUKNATH

ELMHURST, NY
NPI1053096578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  351557)
Enumeration Date2023-06-21
Last Update Date2023-06-21
Business Address
DEVICA MATUKNATH
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-4000
Mailing Address
DEVICA MATUKNATH
11124 121ST ST
SOUTH OZONE PARK, NY 11420-1341
Phone number: 191-794-0632
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