Jincy Varghese Mammen, NP
Clinical Nurse Specialist, Family Health in Manhasset, NY. Individual provider (NPI-1).
NPI number1962751297
StatusActive
Last updated in NPPESSep 19, 2012
Details
- NPI
- 1962751297
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jincy Varghese Mammen
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2012
- Last updated
- Sep 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SF0001X | Clinical Nurse Specialist, Family Health | 364SF0001X | NY | Yes |
Practice location
600 Community DrManhasset, NY 11030-3802
Phone 516-734-7000
Mailing address
1844 Midland DrEast Meadow, NY 11554-5024
Phone 516-302-3355
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