SALLY PUTHENPURACKAL MATHEW

QUEENS VILLAGE, NY
NPI1407355506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY  430980)
Enumeration Date2018-02-05
Last Update Date2018-02-05
Business Address
SALLY PUTHENPURACKAL MATHEW
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number: 718-264-4470
Mailing Address
SALLY PUTHENPURACKAL MATHEW
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number:
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