person
Ms. Mary Sujana Kantharaj, RPA-C
Medical Physician Assistant in Johnson City, New York
NPI 1417947631

Mary Sujana Kantharaj is a Medical Physician Assistant based in Johnson City, NY and is specialized in Medical. Mary Sujana Kantharaj practices in Johnson City, NY and has the professional credentials of RPA-C. The NPI Number for Mary Sujana Kantharaj is 1417947631 and holds a License No. 009664 (New York).

The current practice location address for Mary Sujana Kantharaj is 15 Riverside Dr, Johnson City, NY and can be reached out via phone at 607-770-9050 and via fax at 607-770-9091.

Location: 15 Riverside Dr, Johnson City, NY, 13790-2742
person
Provider Profile Details
NPI Number
1417947631
Provider Name
Mary Sujana Kantharaj
Credential
RPA-C
Provider Entity Type
Individual
Gender
Female
Address
15 Riverside Dr, Johnson City, NY, 13790-2742
Phone Number
607-770-9050
Fax Number
607-770-9091
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01283132 05 NY
institution
Provider Business Practice Location Address Details
Address
15 Riverside Dr
City
State
Zip
13790-2742
Phone Number
607-770-9050
Fax Number
607-770-9091
person
Provider Business Mailing Address Details
Address
15 Riverside Dr
City
State
Zip
13790-2742
Phone Number
607-770-9050
Fax Number
607-770-9091
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
009664 (New York)
Definition
Definition to come...
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