Individual provider · Type 1 NPI
Susmita Mondal, AGNP-C
Adult Health Nurse Practitioner · Mineola, NY
NPI number
1124599642
Active
Practice location
259 1st St
Mineola, NY 11501-3957
Mailing address
25221 72nd Ave Apt 163B
Bellerose, NY 11426-2727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 308874 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124599642
Susmita Mondal, AGNP-C's National Provider Identifier is 1124599642, issued on Dec 10, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Mineola, NY. The record was last updated on Sep 19, 2022.