Provider Information for 1306439898
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SUNI KURIAKOSE
Sex: Female
NPI: 1306439898
Last Updated: 2021-02-16
Certification Date: 2021-01-20
Certification Date: 2021-01-20
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1306439898 | ||||||||||||
| Enumeration Date | 2021-02-16 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 230 E RIDGEWOOD AVE PARAMUS, NJ 07652-4142 United States Phone: 201-967-4000 | Fax: | ||||||||||||
| Primary Practice Address | 230 E RIDGEWOOD AVE PARAMUS, NJ 07652-4142 United States Phone: 201-967-4000 | Fax: | ||||||||||||
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