Individual
DR. JOSEPHEENA JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
274 JERICHO TPKE, FLORAL PARK, NY 11001-2154
(516) 328-3700
(516) 328-3767
Mailing address
48 SYCAMORE LN, ROSLYN HEIGHTS, NY 11577-2522
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
193018
NY
Other
Enumeration date
09/25/2006
Last updated
02/27/2012
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