JERIN JOSE KORUTHU

STATEN ISLAND, NY
NPI1942778477
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2018-11-02
Last Update Date2018-11-02
Business Address
JERIN JOSE KORUTHU
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
Mailing Address
JERIN JOSE KORUTHU
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number:
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