Individual provider · Type 1 NPI
Jacob Parathodathil Joseph, NP
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1285104588
Active
Practice location
Stony Brook Medical Center Health Science Center T 16
Stony Brook, NY 11794-0001
Fax (631) 865-1180
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 308823 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1285104588
Jacob Parathodathil Joseph, NP's National Provider Identifier is 1285104588, issued on Nov 29, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Jan 28, 2019.