Radha Magdaleen Boodram, Acute Care NP
Nurse Practitioner, Acute Care in New Hyde Park, NY. Individual provider (NPI-1).
NPI number1083980296
StatusActive
Last updated in NPPESApr 2, 2012
Details
- NPI
- 1083980296
- Entity type
- Individual (NPI-1)
- Name
- Radha Magdaleen Boodram
- Credential
- Acute Care NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2012
- Last updated
- Apr 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 4306021 | NY | Yes |
| 163W00000X | Registered Nurse | 5107311 | NY |
Practice location
1991 Marcus AveSuite 310
New Hyde Park, NY 11042-2057
Phone 516-472-6012
Mailing address
1991 Marcus AveSuite 310
New Hyde Park, NY 11042-2057
Phone 516-472-6012
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All 35 Acute Care Nurse Practitioner providers in New Hyde Park · All 4,864 providers in New Hyde Park
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