Individual
JINCY JACOB CHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11 CRUM ELBOW RD, HYDE PARK, NY 12538-2852
(845) 229-1020
(845) 229-2005
Mailing address
396 BROADWAY, KINGSTON, NY 12401-4626
(845) 802-7600
(845) 338-0307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
278124
NY
Other
Enumeration date
04/11/2012
Last updated
09/22/2015
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