SearchNew York164W00000X

Mariamma Divakaran, LPN

NPI 1720303894 · on the registry since 2010

Practice

Address
15011 Hillside Ave
Jamaica, NY 11432
Phone
(718) 739-5778
Organisation at this address
Spencer A Colden Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York