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1649665670
MARYANN PRAKASH JACOB
WHITE PLAINS, NY
NPI
1649665670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 296270)
Enumeration Date
2015-04-06
Last Update Date
2022-10-04
Business Address
MARYANN PRAKASH JACOB M.D.
79 E POST RD
WHITE PLAINS, NY 10601-5008
Phone number: 914-681-1128
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Mailing Address
MARYANN PRAKASH JACOB M.D.
79 E POST RD
WHITE PLAINS, NY 10601-5008
Phone number: 914-681-1128
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