JYOTHI MAMMEN

STATEN ISLAND, NY
NPI1194298406
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  343382)
Enumeration Date2019-01-09
Last Update Date2019-01-09
Business Address
JYOTHI MAMMEN NP
4143 RICHMOND AVE STE 1
STATEN ISLAND, NY 10312-5637
Phone number: 718-966-5556
Mailing Address
JYOTHI MAMMEN NP
682 FOREST AVE
STATEN ISLAND, NY 10310-2507
Phone number: 718-370-3730