Lissy Mathew Kochupurackal

NPI #1205470333 in Bellerose, New York

Provider Information

NPI Number
1205470333
Entity Type
Individual
Name
Lissy Mathew Kochupurackal
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent
Enumeration Date
Oct 31, 2019
Last Updated
May 14, 2024

Practice Location

Address
7403 COMMONWEALTH BLVD
ZIP Code
11426-1839
Phone
(917) 601-3543

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Psychiatric/Mental Health, Child & AdolescentPsychiatric/Mental Health, Child & Adolescent

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