Puthiyamadam, Mary Rose

Puthiyamadam, Mary Rose is an individual health care provider with primary practice located at 80 Beekman Ave Open Door Family Medical Centers, Inc., Sleepy Hollow NY 10591-2503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Puthiyamadam, Mary Rose can be contacted via phone (914) 941-1263.

Contact Information

Primary practice address
80 Beekman Ave Open Door Family Medical Centers, Inc. Sleepy Hollow NY 10591-2503
Phone: (914) 941-1263
Fax: (914) 941-0993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 230358-1 New York

Profile Details

NPI number 1669534574
LBN Legal business name Puthiyamadam, Mary Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Dec 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669534574 NPPES
New York MEDICAID 02479481

Popular Providers