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1205470333
LISSY MATHEW KOCHUPURACKAL
BELLEROSE, NY
NPI
1205470333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: NY 0714671)
Enumeration Date
2019-10-31
Last Update Date
2024-05-14
Business Address
LISSY MATHEW KOCHUPURACKAL
7403 COMMONWEALTH BLVD
BELLEROSE, NY 11426-1839
Phone number: 917-601-3543
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Mailing Address
LISSY MATHEW KOCHUPURACKAL
8141 249TH ST
BELLEROSE, NY 11426-2517
Phone number: 917-601-3543
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