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1790816510
MANJUMMELKUDIYIL P KURUVILLA
BAY SHORE, NY
NPI
1790816510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 128155-1)
Enumeration Date
2007-03-07
Last Update Date
2012-10-05
Business Address
Dr. MANJUMMELKUDIYIL P KURUVILLA MD
9 4TH AVE
BAY SHORE, NY 11706-7908
Phone number: 631-968-9102
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Mailing Address
Dr. MANJUMMELKUDIYIL P KURUVILLA MD
15 CEDAR RIDGE LN
DIX HILLS, NY 11746-7936
Phone number: 631-968-9102
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