Baby, Mariamma Komadathu
Baby, Mariamma Komadathu is an sole proprietor health care provider with primary practice located at 140 Old Orangeburg Rd , Orangeburg NY 10962-1157. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baby, Mariamma Komadathu can be contacted via phone (845) 680-8500.Contact Information
Primary practice address
140 Old Orangeburg Rd
Orangeburg NY 10962-1157
Phone: (845) 680-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 342281 | New York |
Profile Details
| NPI number | 1730698986 |
|---|---|
| LBN Legal business name | Baby, Mariamma Komadathu |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2017 |
| Last updated | Sep 20th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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