Individual
JANICE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 N 3RD ST, NEW HYDE PARK, NY 11040-2833
(516) 710-9337
Mailing address
919 N 3RD ST, NEW HYDE PARK, NY 11040-2833
(516) 710-9337
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431773-01
NY
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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