Most Relevant Information
Provider Data
| NPI Number: | 1003177809 |
| Provider Name: | RACHEL JOY KURIAN MASPED |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: | 1858013 |
Most Important Dates
| Enumeration Date: | 06/07/2012 |
| Last Updated: | 06/07/2012 |
Provider Practice Location
354 MAPLEWOOD ST
ISLIP TERRACE
NY
117522523
Practice Location Phone/Fax
| Phone: | 5165328240 |
| Fax: |
Provider Mailing Location
354 MAPLEWOOD ST
ISLIP TERRACE
NY
117522523
Provider Mailing Phone/Fax
| Phone: | 5165328240 |
| Fax: |