Sanju Padiyedathu Ittan, FNP-BC is a family nurse practitioner in Bronx, NY. Sanju Padiyedathu Ittan, FNP-BC NPI is 1457750200. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1825 EASTCHESTER RD
BRONX, NY
ZIP 10461-301
Phone: (845) 709-0173
The NPI 1457750200 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/18/2014 and was last updated on 8/18/2014.