MRS. Manju Biju Sam
NPI #1265067466 in Stony Brook, New York
Provider Information
- NPI Number
- 1265067466
- Entity Type
- Individual
- Name
- MRS. Manju Biju Sam
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Mar 8, 2020
- Last Updated
- Nov 23, 2021
Practice Location
- Address
- 101 NICOLLS RD
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-1923
- Phone
- (631) 632-6868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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