Individual provider · Type 1 NPI
Jessy Koshy Zachariah, NP
Adult Health Nurse Practitioner · Manhasset, NY
NPI number
1861991002
Active
Practice location
300 Community Dr
Manhasset, NY 11030-3816
Mailing address
29 Tottenham Pl
New Hyde Park, NY 11040-3516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 308278 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1861991002
Jessy Koshy Zachariah, NP's National Provider Identifier is 1861991002, issued on Feb 2, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Manhasset, NY. The record was last updated on Feb 2, 2018.