DR. Mary Cherian Palathra, D.O.

NPI #1548467079 in Port Jefferson, New York

Provider Information

NPI Number: 1548467079
Entity Type: Individual
Name: DR. Mary Cherian Palathra, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Jun 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 200 BELLE TERRE RD
City: Port Jefferson
State: New York
ZIP Code: 11777-1928
Phone: (631) 474-6205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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