MARIAMMA KOMADATHU BABY

ORANGEBURG, NY
NPI1730698986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  342281)
Enumeration Date2017-09-20
Last Update Date2017-09-20
Business Address
Mrs. MARIAMMA KOMADATHU BABY FNP
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962-1157
Phone number: 845-680-8500
Mailing Address
Mrs. MARIAMMA KOMADATHU BABY FNP
544 ROUTE 340
SPARKILL, NY 10976-1410
Phone number: 845-365-0994
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