Individual provider · Type 1 NPI

Mariamma Komadathu Baby, FNP

Family Nurse Practitioner · Orangeburg, NY

NPI number 1730698986 Active

Practice location

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157

Mailing address

544 Route 340
Sparkill, NY 10976-1410

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X342281 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1730698986

Mariamma Komadathu Baby, FNP's National Provider Identifier is 1730698986, issued on Sep 20, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orangeburg, NY. The record was last updated on Sep 20, 2017.