MANJU BIJU SAM

STONY BROOK, NY
NPI1265067466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F309300-01)
Enumeration Date2020-03-08
Last Update Date2021-11-23
Business Address
Mrs. MANJU BIJU SAM
101 NICOLLS RD
STONY BROOK, NY 11794-1923
Phone number: 631-632-6868
Mailing Address
Mrs. MANJU BIJU SAM
4 BERWYN DR
LAKE RONKONKOMA, NY 11779-1923
Phone number: 631-525-1801
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