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1194100537
DIMPLE PUTHETHUKUDI GEORGE
PATCHOGUE, NY
NPI
1194100537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F307244)
Enumeration Date
2015-07-28
Last Update Date
2015-07-28
Business Address
-- DIMPLE PUTHETHUKUDI GEORGE N P
101 HOSPITAL ROAD BROOK HAVEN HOSPITAL MEDICAL CENTER
PATCHOGUE, NY 11772
Phone number: 631-654-7214
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Mailing Address
-- DIMPLE PUTHETHUKUDI GEORGE N P
70 DARE RD
SELDEN, NY 11784-2004
Phone number: 631-428-1645
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