BEENA JACOB

MINEOLA, NY
NPI1699201970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F307794-1)
Enumeration Date2017-05-05
Last Update Date2021-03-19
Business Address
BEENA JACOB
101 MINEOLA BLVD FL 2
MINEOLA, NY 11501-4089
Phone number: 516-663-3511
Mailing Address
BEENA JACOB
285 E MAIN ST STE 105
SMITHTOWN, NY 11787-2912
Phone number:
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