MARIAMMA JACOB POTHANAMKANDATHIL

EAST MEADOW, NY
NPI1114756731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY  596172)
Enumeration Date2024-07-31
Last Update Date2024-07-31
Business Address
MARIAMMA JACOB POTHANAMKANDATHIL
484 BERNARD ST
EAST MEADOW, NY 11554-3910
Phone number: 516-996-4856
Mailing Address
MARIAMMA JACOB POTHANAMKANDATHIL
484 BERNARD ST
EAST MEADOW, NY 11554-3910
Phone number: