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1205171832
RENU CHINNAM MATHEW
BRONX, NY
NPI
1205171832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY f337199-1)
Enumeration Date
2012-12-08
Last Update Date
2012-12-08
Business Address
-- RENU CHINNAM MATHEW FNP
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
-- RENU CHINNAM MATHEW FNP
703 PELHAM RD APT 113
NEW ROCHELLE, NY 10805-1124
Phone number: 914-462-8327
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