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Poornima Manikantan
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1891373478

Poornima Manikantan is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Poornima Manikantan practices in Stony Brook, NY. The NPI Number for Poornima Manikantan is 1891373478 and holds a License No. (New York).

The current practice location address for Poornima Manikantan is 101 Nicolls Rd Rm 20, Stony Brook, NY and can be reached out via phone at 631-444-7411 and via fax at 631-444-2493.

Location: 101 Nicolls Rd Rm 20, Stony Brook, NY, 11794-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891373478
Provider Name
Poornima Manikantan
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd Rm 20, Stony Brook, NY, 11794-0001
Phone Number
631-444-7411
Fax Number
631-444-2493
Provider Enumeration Date
04/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd Rm 20
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-7411
Fax Number
631-444-2493
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd Rm 20
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-7411
Fax Number
631-444-2493
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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