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

Mariamma Jacob Pothanamkandathil

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1114756731

Mariamma Jacob Pothanamkandathil is a Psychiatric/Mental Health Registered Nurse in East Meadow, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

484 Bernard St
East Meadow, NY 11554-3910
Phone: (516) 996-4856
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 596172 (NY)

Record details

NPI number1114756731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024