Individual provider · Type 1 NPI

Sujitha Nicholas Thottam, ANP/GNP

Adult Health Nurse Practitioner · Jamaica, NY

NPI number 1487956140 Active

Practice location

8268 164th St, N BUILDING-733
Jamaica, NY 11432-1121

Mailing address

82-68 164th Street, Queens Hospital Center, N BUILDING-733
Queens, NY 11432-1121

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF305475-1 (NY)
Gerontology Nurse Practitioner 363LG0600XF340781-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1487956140

Sujitha Nicholas Thottam, ANP/GNP's National Provider Identifier is 1487956140, issued on Nov 30, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jamaica, NY. The record was last updated on Apr 27, 2011.