person
Mini Susan Mammen
Family Nurse Practitioner in Great Neck, New York
NPI 1780241398

Mini Susan Mammen is a Family Nurse Practitioner based in New Hyde Park, NY and is specialized in Family. Mini Susan Mammen practices in Great Neck, NY. The NPI Number for Mini Susan Mammen is 1780241398 and holds a License No. F344251 (New York).

The current practice location address for Mini Susan Mammen is 310 E Shore Rd, Great Neck, NY and can be reached out via phone at 516-482-8657.

Location: 310 E Shore Rd, Great Neck, NY, 11040-3825
person
Provider Profile Details
NPI Number
1780241398
Provider Name
Mini Susan Mammen
Credential
Provider Entity Type
Individual
Gender
Female
Address
310 E Shore Rd, Great Neck, NY, 11040-3825
Phone Number
516-482-8657
Fax Number
Provider Enumeration Date
05/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
310 E Shore Rd
City
State
Zip
11023-2410
Phone Number
516-482-8657
Fax Number
person
Provider Business Mailing Address Details
Address
310 E Shore Rd
City
State
Zip
11023-2410
Phone Number
516-482-8657
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F344251 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Family Health
Taxonomy
License No.
F344251 (New York)
Definition
Definition to come...
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