NISHA SUSAN PRINCE-MATTATHIL

HUNTINGTON, NY
NPI1396362646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  1792786)
Enumeration Date2020-07-02
Last Update Date2022-08-06
Business Address
NISHA SUSAN PRINCE-MATTATHIL Nurse Practitioner
789 PARK AVE
HUNTINGTON, NY 11743-3912
Phone number: 631-386-3402
Mailing Address
NISHA SUSAN PRINCE-MATTATHIL Nurse Practitioner
789 PARK AVE
HUNTINGTON, NY 11743-3912
Phone number: 631-386-3402
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