Individual provider · Type 1 NPI
Marykutty Jacob, ANP-C
Adult Health Nurse Practitioner · New Hyde Park, NY
NPI number
1275836058
Active
Practice location
450 Lakeville Rd, Suite M41
New Hyde Park, NY 11042-1117
Fax (516) 734-8537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F 3055327-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1275836058
Marykutty Jacob, ANP-C's National Provider Identifier is 1275836058, issued on Dec 16, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New Hyde Park, NY. The record was last updated on Dec 16, 2010.