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Individual

MRS. JAISA JOSEPH PALLICKAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN ANP

Contact information

Practice address
75 BROAD ST, 0815, NEW YORK, NY 10004-2415
(718) 391-0611
Mailing address
17 BEST ST, WESTWOOD, NJ 07675-2701
(201) 358-0349

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
305563
NY

Other

Enumeration date
06/05/2013
Last updated
06/05/2013
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