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1700314820
ALICIA JACOB
STATEN ISLAND, NY
NPI
1700314820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 341484)
Enumeration Date
2017-06-02
Last Update Date
2022-07-21
Business Address
Ms. ALICIA JACOB FNP
660 COLLFIELD AVE
STATEN ISLAND, NY 10314
Phone number: 347-206-0938
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Mailing Address
Ms. ALICIA JACOB FNP
660 COLLFIELD AVE
STATEN ISLAND, NY 10314
Phone number: 347-206-0938
Copy
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