MELVIN THOMAS JACOB

QUEENS VILLAGE, NY
NPI1720943947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  900551)
Enumeration Date2025-12-19
Last Update Date2025-12-19
Business Address
MELVIN THOMAS JACOB
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number: 718-464-7500
Mailing Address
MELVIN THOMAS JACOB
8537 262ND ST
FLORAL PARK, NY 11001-1127
Phone number: 631-220-5875