SearchNew York163W00000X

Mini Thottam

NPI 1992102537 · on the registry since 2014 · sole proprietor

Practice

Address
19 Depan Ave
Floral Park, NY 11001
Phone
(516) 354-9817

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-25

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