Individual
MR. JACOB BARELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 W 34TH ST APT 6C, NEW YORK, NY 10001-2304
(208) 308-9129
Mailing address
440 W 34TH ST APT 6C, NEW YORK, NY 10001-2304
(208) 308-9129
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405196
NY
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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