Ethirajulu, Prema Udayakumar

Ethirajulu, Prema Udayakumar is an individual health care provider with primary practice located at 1 Healthy Way E-3, Oceanside NY 11572-1551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ethirajulu, Prema Udayakumar can be contacted via phone (516) 632-3640.

Contact Information

Primary practice address
1 Healthy Way E-3 Oceanside NY 11572-1551
Phone: (516) 632-3640
Fax: (516) 336-2958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F 306701 New York

Profile Details

NPI number 1811314487
LBN Legal business name Ethirajulu, Prema Udayakumar
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2014
Last updated Apr 28th, 2015 - about 9 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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