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1194298406
JYOTHI MAMMEN
STATEN ISLAND, NY
NPI
1194298406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 343382)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
JYOTHI MAMMEN NP
4143 RICHMOND AVE STE 1
STATEN ISLAND, NY 10312-5637
Phone number: 718-966-5556
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Mailing Address
JYOTHI MAMMEN NP
682 FOREST AVE
STATEN ISLAND, NY 10310-2507
Phone number: 718-370-3730
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