Individual
MRS. SUNITHA JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51-55 N ROUTE 9W, WEST HAVERSTRAW, NY 10993-1195
(845) 786-4000
Mailing address
139 BLAUVELT RD, NANUET, NY 10954-3601
(914) 426-0159
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F353417
NY
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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