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1285104588
JACOB PARATHODATHIL JOSEPH
STONY BROOK, NY
NPI
1285104588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 308823)
Enumeration Date
2018-11-29
Last Update Date
2019-01-28
Business Address
JACOB PARATHODATHIL JOSEPH NP
STONY BROOK MEDICAL CENTER HEALTH SCIENCE CENTER T 16
STONY BROOK, NY 11794-0001
Phone number: 631-444-1665
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Mailing Address
JACOB PARATHODATHIL JOSEPH NP
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number:
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