Pulickal, Manjju Agnes

Pulickal, Manjju Agnes is an individual health care provider with primary practice located at 344 Main St Suite 104, Mt. Kisco NY 10549. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Pulickal, Manjju Agnes can be contacted via phone (914) 242-3652.

Contact Information

Primary practice address
344 Main St Suite 104 Mt. Kisco NY 10549
Phone: (914) 242-3652
Fax: (914) 244-8983
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 26NJ00321900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 597810 New York

Profile Details

NPI number 1972801629
LBN Legal business name Pulickal, Manjju Agnes
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2011
Last updated Mar 3rd, 2016 - 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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