Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leelamma Mathai Philip

Individual provider Ambulatory Care Registered Nurse · NPI 1740788108

Leelamma Mathai Philip is an Ambulatory Care Registered Nurse in Queens Village, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

7925 Winchester Blvd
Queens Village, NY 11427-2128
Phone: (718) 264-4050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0809X · Licence 430807 (NY)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence 430807 (NY)

Record details

NPI number1740788108
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 30, 2018
Last updated in NPPESJanuary 30, 2018