Individual
MRS. JESSY KOSHY ZACHARIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
29 TOTTENHAM PL, NEW HYDE PARK, NY 11040-3516
(516) 214-4924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308278
NY
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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