Mrs. Susamma Thomas Idicula, ANP
Mrs. Susamma Thomas Idicula, ANP is an Adult Health Nurse Practitioner in New York, New York. Licensed in New York. Registered with an NPI since 2011.
- Licensed in
- NY
- In the registry since
- 2011
Practice location Address checks out
120 W 106 Street The Jewish Home & HospitalNew York, NY 10025-0000
Phone: (212) 870-5000
Fax: (212) 870-4905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence F305565-1 (NY) |
|---|
Record details
| NPI number | 1720387343 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ANP |
| Sole proprietor | No |
| NPI enumerated | March 22, 2011 |
| Last updated in NPPES | March 22, 2011 |
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