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1235620048
NAMITHA JOHN SHAH
NEW YORK, NY
NPI
1235620048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 342753)
Enumeration Date
2018-05-29
Last Update Date
2020-10-22
Business Address
NAMITHA JOHN SHAH FNP-BC
1619 BROADWAY
NEW YORK, NY 10019-7412
Phone number: 646-416-5752
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Mailing Address
NAMITHA JOHN SHAH FNP-BC
30 N TYSON AVE
FLORAL PARK, NY 11001-1515
Phone number: 347-624-8566
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