USHA MANGALASSERIL SAMUEL

QUEENS VILLAGE, NY
NPI1699274399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY  639278)
Enumeration Date2018-02-08
Last Update Date2018-02-08
Business Address
USHA MANGALASSERIL SAMUEL
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number: 718-264-4050
Mailing Address
USHA MANGALASSERIL SAMUEL
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number: 718-264-4050