Individual provider · Type 1 NPI
Mariamma Jacob Pothanamkandathil
Psychiatric/Mental Health Registered Nurse · East Meadow, NY
NPI number
1114756731
Active
Practice location
484 Bernard St
East Meadow, NY 11554-3910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 596172 (NY) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1114756731
Mariamma Jacob Pothanamkandathil's National Provider Identifier is 1114756731, issued on Jul 31, 2024. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in East Meadow, NY. The record was last updated on Jul 31, 2024.