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Rithu Sudha Panicker I

Registered Nurse, Psych/Mental Health in Staten Island, NY. Individual provider (NPI-1).

NPI number1982168548
StatusActive
Last updated in NPPESJan 29, 2019

Details

NPI
1982168548
Entity type
Individual (NPI-1)
Name
Rithu Sudha Panicker I
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 29, 2019
Last updated
Jan 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0808X Registered Nurse, Psych/Mental Health743227NYYes

Practice location

777 Seaview Ave
Staten Island, NY 10305-3409

Phone 718-667-2396

Mailing address

777 Seaview Ave
Staten Island, NY 10305-3409

Phone 718-667-2396

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