Manju Jacob Chirakkarottu
Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Orangeburg, NY
NPI 1922848191 · NPPES record last updated May 27, 2024
Key facts
- NPI
- 1922848191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
- License
- 806345-01 (NY)
- Practice address
- 140 Old Orangeburg Rd
Orangeburg, NY 10962-1157 - Phone
- (607) 386-0619
- NPI assigned
- May 27, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 806345-01 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 806345-01 | NY | Yes |
Addresses
Primary practice location
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Mailing address
5 Waters VW
New City, NY 10956-6821
Phone (607) 386-0619
Other providers in Orangeburg, NY
- Faiz Aslam Cheema
- Sigimol Cherian
- Marlene Chery
- Lynda A. Chesterman
- Mbamwabi Chimimba
- Nilima Chokshi
- Fazlur R Chowdhury
- Noshin Chowdhury
- Larisa Chuguevskaya
- Bincy Chummar
All providers in Orangeburg, NY · Adult Psychiatric/Mental Health Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.