Individual
MRS. MERIN THOMAS JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2132
Mailing address
348 STARKE AVE, EAST MEADOW, NY 11554-2823
(516) 849-1447
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307873
NY
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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