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1720387343
SUSAMMA THOMAS IDICULA
NEW YORK, NY
NPI
1720387343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F305565-1)
Enumeration Date
2011-03-22
Last Update Date
2011-03-22
Business Address
Mrs. SUSAMMA THOMAS IDICULA ANP
120 WEST 106 STREET THE JEWISH HOME & HOSPITAL
NEW YORK, NY 10025-0000
Phone number: 212-870-5000
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Mailing Address
Mrs. SUSAMMA THOMAS IDICULA ANP
120 W 106TH ST
NEW YORK, NY 10025-3923
Phone number: 212-870-5000
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