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1952800567
THANKAMMA MATHEW
QUEENS VILLAGE, NY
NPI
1952800567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY 450647)
Enumeration Date
2018-02-09
Last Update Date
2018-02-09
Business Address
THANKAMMA MATHEW
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number: 718-264-4050
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Mailing Address
THANKAMMA MATHEW
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number:
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