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NPI Code Detail

MEDICARE: MRS. MERIN SANOJ JOSEPH RN, MSN, FNP- BC

MEDICARE: MRS. MERIN SANOJ JOSEPH RN, MSN, FNP- BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner338155NY

General Provider Information

NPI Number : 1083032882
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MERIN SANOJ JOSEPH RN, MSN, FNP- BC
Provider Business Mailing Address
First Line : 40 MOORE AVE
Second Line : APT 5 V
City : MOUNT KISCO
State : NY
Zip : 10549-3115
Country : US
Telephone Number : 347-684-0386
Fax Number :
Provider Business Practice Location Address
First Line : 189 ROUTE 100
Second Line :
City : SOMERS
State : NY
Zip : 10589-2811
Country : US
Telephone Number : 914-232-5101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2014
Last Update Date : 04/03/2014

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