Individual provider · Type 1 NPI

Radha Magdaleen Boodram, ACUTE CARE NP

Acute Care Nurse Practitioner · New Hyde Park, NY

NPI number 1083980296 Active

Practice location

1991 Marcus Ave, Suite 310
New Hyde Park, NY 11042-2057

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X5107311 (NY)
Acute Care Nurse Practitioner Primary 363LA2100X4306021 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1083980296

Radha Magdaleen Boodram, ACUTE CARE NP's National Provider Identifier is 1083980296, issued on Apr 2, 2012. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New Hyde Park, NY. The record was last updated on Apr 2, 2012.