Individual
BINDU JACOB THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MSN
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-8970
Mailing address
28 SERGENT CT, BERGENFIELD, NJ 07621-1227
(201) 952-2331
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01474300
NJ
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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