MRS. MARY LIJI KALATHARA


Address: 12 Fairmont Ave, Ardsley, NY 10502-1618
Phone: 9143935275

MRS. MARY LIJI KALATHARA (NPI# 1528533437) 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) 1528533437
Entity Type Individual
Full Name MRS. MARY LIJI KALATHARA
Credential NNP-BC
Practice Address 12 Fairmont Ave
Ardsley
NY 10502-1618
Practice Telephone 9143935275
Mailing Telephone 9143935275
Enumeration Date 2018-10-06
Last Update Date 2018-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
350447 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12 FAIRMONT AVE
City ARDSLEY
State NY
Zip Code 10502-1618

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1457717506 Kathleen Kelly Malone, Lcsw LLC Social Worker 1 Dell Lane, Ardsley, NY 10502 2016-01-05
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1033465174 Patricia A Petronella Specialist 1053 Sawmill River Rd., Hta of New York, Ardsley, NY 10502 2012-07-26
1730469578 Mariya Kobi Student in an Organized Health Care Education/Training Program 6 Jordan Lane, Ardsley, NY 10502 2011-08-25
1447567300 Nicole E Fernandes Psychologist 700 Ashford Avenue, Ardsley Middle School, Ardsley, NY 10502 2010-09-13
1720226541 Jennifer Combs Lalor Speech-Language Pathologist 410 Saw Mill River Road, Suite 2050, Ardsley, NY 10502 2009-02-02
1548435985 Adam Scott Weissman Psychologist 517 Almena Ave, Ardsley, NY 10502 2008-04-28
1235348095 Carmen Muniz Cooper Social Worker 545 Saw Mill River Road, Suite 3a, Ardsley, NY 10502 2007-05-21
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

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1952811168 Adriann Combs Nurse Practitioner 259 First Street, Pediatrics/neonatology, Mineola, NY 11501 2017-10-03
1992228654 Amber Marie Scherf Nurse Practitioner 3959 Broadway Dept Of, New York, NY 10032-1559 2017-07-24
1659818680 Rada Korman Nurse Practitioner 2180 Smith St, Merrick, NY 11566-3616 2017-01-29
1053779678 Miriam Schmalberg-baum Nurse Practitioner 750 Crown St, Apt 2b, Brooklyn, NY 11213-5442 2016-02-10
1952786469 Sonya Dijon James Nurse Practitioner 321 Avenue C, Apt 9c, New York, NY 10009-1628 2015-07-26
1912287871 Jane Dolson Lanusse Nurse Practitioner 47 New Sctlnd Ave, Albany, NY 12208-3412 2011-08-24
1447483573 Lillian Ann Hope Nurse Practitioner 535 Dean St, #908, Brooklyn, NY 11217-2172 2009-08-24
1093980104 Yuliya Gorelik Nurse Practitioner Wmc 95 Grasslands Rd, Nicu, Valhalla, NY 10595 2008-04-29
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Competitor

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City ARDSLEY
Zip Code 10502

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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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