Individual provider · Type 1 NPI
Lorency Varghese Prakuzhy, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1629306774
Active
Practice location
622 West 168th Street
New York, NY 10032-3720
Mailing address
630 West 168th Street,
Box 4 New York,, NY 10032-3725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00250200 (NJ) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 305246 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1629306774
Lorency Varghese Prakuzhy, NP's National Provider Identifier is 1629306774, issued on Dec 1, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on May 11, 2012.