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JASMINE THALAPPILLIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
3400 BAINBRIDGE AVENUE, LOWER LEVEL SUITE 400, BRONX, NY 10467-2404
(718) 920-5264
Mailing address
1601 GILFORD AVE, NEW HYDE PARK, NY 11040-3939
(917) 536-5556

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308253
NY

Other

Enumeration date
10/30/2017
Last updated
10/30/2017
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