Individual
MS. ELSEY JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
270-06 76TH AVENUE, NEW HYDE PARK, NY 11040
(718) 470-7940
(718) 470-4314
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-1246
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420602
NY
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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