BENNA THAYIL JACOB

MINEOLA, NY
NPI1477247948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-06-06
Last Update Date2023-06-06
Business Address
Dr. BENNA THAYIL JACOB DO
222 STATION PLZ N STE 509
MINEOLA, NY 11501-3893
Phone number: 516-663-2381
Mailing Address
Dr. BENNA THAYIL JACOB DO
130 RADCLIFFE RD
PLAINVIEW, NY 11803-1218
Phone number: 516-236-4236
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