NPI Profile for JINCY V MAMMEN in MANHASSET, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family Health |
364SF0001X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1962751297 |
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| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 08/31/2012 | |
| Last updated | 09/19/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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JINCY V MAMMEN
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