person
Nisha Susan Prince-mattathil, NURSEPRACTITIONER
Family Nurse Practitioner in Huntington, New York
NPI 1396362646

Nisha Susan Prince-mattathil is a Family Nurse Practitioner based in Huntington, NY and is specialized in Family. Nisha Susan Prince-mattathil practices in Huntington, NY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Nisha Susan Prince-mattathil is 1396362646 and holds a License No. 1792786 (New York).

The current practice location address for Nisha Susan Prince-mattathil is 789 Park Ave, Huntington, NY and can be reached out via phone at 631-386-3402. You can also correspond with Nisha Susan Prince-mattathil through the mailing address at 789 PARK AVE, HUNTINGTON, NY - 11743-3912 (mailing address contact number: 631-386-3402).

Location: 789 Park Ave, Huntington, NY, 11743-3912
person
Provider Profile Details
NPI Number
1396362646
Provider Name
Nisha Susan Prince-mattathil
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
789 Park Ave, Huntington, NY, 11743-3912
Phone Number
631-386-3402
Fax Number
Provider Enumeration Date
07/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
789 Park Ave
City
State
Zip
11743-3912
Phone Number
631-386-3402
Fax Number
person
Provider Business Mailing Address Details
Address
789 Park Ave
City
State
Zip
11743-3912
Phone Number
631-386-3402
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1792786 (New York)
Definition
Definition to come...
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