person
Lissy Mathew Kochupurackal
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Bellerose, New York
NPI 1205470333

Lissy Mathew Kochupurackal is a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist based in Bellerose, NY and is specialized in Psychiatric/Mental Health, Child & Adolescent. Lissy Mathew Kochupurackal practices in Bellerose, NY. The NPI Number for Lissy Mathew Kochupurackal is 1205470333 and holds a License No. 0714671 (New York).

The current practice location address for Lissy Mathew Kochupurackal is 8141 249Th St, Bellerose, NY and can be reached out via phone at 917-601-3543.

Location: 8141 249Th St, Bellerose, NY, 11426-2517
person
Provider Profile Details
NPI Number
1205470333
Provider Name
Lissy Mathew Kochupurackal
Credential
Provider Entity Type
Individual
Gender
Female
Address
8141 249Th St, Bellerose, NY, 11426-2517
Phone Number
917-601-3543
Fax Number
Provider Enumeration Date
10/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8141 249Th St
City
State
Zip
11426-2517
Phone Number
917-601-3543
Fax Number
person
Provider Business Mailing Address Details
Address
8141 249Th St
City
State
Zip
11426-2517
Phone Number
917-601-3543
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
0714671 (New York)
Definition
Definition to come...
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