Individual
BINNY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 680-7800
Mailing address
10 VIOHL WAY, GARNERVILLE, NY 10923-1858
(201) 819-7908
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
450064
NY
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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