MR. Ebenezer Premkumar Thangavelu, NP
NPI #1780673228 in Lindenhurst, New York
Provider Information
- NPI Number
- 1780673228
- Entity Type
- Individual
- Name
- MR. Ebenezer Premkumar Thangavelu, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- NP
- Enumeration Date
- Oct 18, 2005
- Last Updated
- May 18, 2016
Practice Location
- Address
- 143 S 9TH ST
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-4523
- Phone
- (516) 983-5754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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