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MR. JACOB PALATHINKAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P

Contact information

Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-7000
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F40134
NY

Other

Enumeration date
01/15/2011
Last updated
12/31/2013
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