ANCHALA THYKKOOTTATHIL JOY


Address: 119 Terrace Ave, Elmont, NY 11003-1738
Phone: 5163050710

ANCHALA THYKKOOTTATHIL JOY (NPI# 1568005171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568005171
Entity Type Individual
Full Name ANCHALA THYKKOOTTATHIL JOY
Practice Address 119 Terrace Ave
Elmont
NY 11003-1738
Practice Telephone 5163050710
Mailing Telephone 5163050710
Enumeration Date 2019-10-26
Last Update Date 2019-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
665017 NY Nursing Service Providers

Office Location

Street Address 119 TERRACE AVE
City ELMONT
State NY
Zip Code 11003-1738

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Taxonomy Information

Taxonomy Code 163WP0807X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Child & Adolescent

Taxonomy Definition

Definition to come...

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Competitor

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City ELMONT
Zip Code 11003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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