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1235956095
SIBIMOL NIRAVATH
GLEN OAKS, NY
NPI
1235956095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 406360)
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
SIBIMOL NIRAVATH PMHNP-BC
75-59 263RD STREET
GLEN OAKS, NY 11004
Phone number: 718-470-8100
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Mailing Address
SIBIMOL NIRAVATH PMHNP-BC
5003 JERICHO TPKE STE 1032
COMMACK, NY 11725-2842
Phone number: 631-456-1126
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