person
Mrs. Susamma Thomas Idicula, ANP
Adult Health Nurse Practitioner in New York, New York
NPI 1720387343

Susamma Thomas Idicula is an Adult Health Nurse Practitioner based in New York, NY and is specialized in Adult Health. Susamma Thomas Idicula practices in New York, NY and has the professional credentials of ANP. The NPI Number for Susamma Thomas Idicula is 1720387343 and holds a License No. F305565-1 (New York).

The current practice location address for Susamma Thomas Idicula is 120 West 106 Street, New York, NY and can be reached out via phone at 212-870-5000 and via fax at 212-870-4905.

Location: 120 West 106 Street, New York, NY, 10025-3923
person
Provider Profile Details
NPI Number
1720387343
Provider Name
Susamma Thomas Idicula
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
120 West 106 Street, New York, NY, 10025-3923
Phone Number
212-870-5000
Fax Number
212-870-4905
Provider Enumeration Date
03/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 West 106 Street
City
State
Zip
10025-0000
Phone Number
212-870-5000
Fax Number
212-870-4905
person
Provider Business Mailing Address Details
Address
120 West 106 Street
City
State
Zip
10025-0000
Phone Number
212-870-5000
Fax Number
212-870-4905
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F305565-1 (New York)
Definition
Definition to come...
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