Organization
JOSEPHEENA JACOB MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHEENA JACOB (MD)
(516) 328-3700
Entity
Organization
Contact information
Practice address
274 JERICHO TPKE, FLORAL PARK, NY 11001-2107
(516) 328-3700
(516) 328-3767
Mailing address
274 JERICHO TPKE, FLORAL PARK, NY 11001-2107
(516) 328-3700
(516) 328-3767
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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