Individual
ALEYAMMA SALLY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
265 POST AVE, SUITE 114, WESTBURY, NY 11590-2233
(516) 542-1180
(516) 832-4423
Mailing address
265 POST AVE, SUITE 114, WESTBURY, NY 11590-2233
(516) 542-1180
(516) 832-4423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200236
NY
Other
Enumeration date
05/22/2006
Last updated
08/04/2016
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