Provider Demographics
NPI:1407537228
Name:KURIAN, MARIAMMA (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARIAMMA
Middle Name:
Last Name:KURIAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 UTOPIAN PL
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7714
Mailing Address - Country:US
Mailing Address - Phone:845-915-0579
Mailing Address - Fax:
Practice Address - Street 1:25 UTOPIAN PL
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10901-7714
Practice Address - Country:US
Practice Address - Phone:845-915-0579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY533177163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse