Mini Susan Mammen
Mini Susan Mammen is a Family Health Clinical Nurse Specialist in Great Neck, New York. Licensed in New York. Registered with an NPI since 2019.
- Licensed in
- NY
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
310 E Shore RdGreat Neck, NY 11023-2410
Phone: (516) 482-8657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence F344251 (NY) |
|---|---|
| Family Health Clinical Nurse Specialist | Taxonomy 364SF0001X · Licence F344251 (NY) |
Record details
| NPI number | 1780241398 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 20, 2019 |
| Last updated in NPPES | November 11, 2019 |