Individual provider · Type 1 NPI
Elsey Jacob, NP
Women's Health Nurse Practitioner · New Hyde Park, NY
NPI number
1467574673
Active
Practice location
270-06 76th Avenue
New Hyde Park, NY 11040
Fax (718) 470-4314
Mailing address
972 Brush Hollow Rd
Westbury, NY 11590-1740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | F420602 (NY) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1467574673
Elsey Jacob, NP's National Provider Identifier is 1467574673, issued on Apr 6, 2007. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in New Hyde Park, NY. The record was last updated on Jul 8, 2007.