Individual
BEENA E JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10 E 102ND ST, NEW YORK, NY 10029-6030
(212) 241-5656
(212) 241-8866
Mailing address
150 E 42ND ST FL 9, NEW YORK, NY 10017-5699
(646) 605-8186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F344333
NY
Other
Enumeration date
05/05/2019
Last updated
11/22/2019
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