ANISHA SARA JACOB

BETHPAGE, NY
NPI1891452959
Other NameANISHA SARA CHACKO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  347205)
Enumeration Date2021-11-23
Last Update Date2021-11-23
Business Address
MRS. ANISHA SARA JACOB NP
18 SEITZ DR
BETHPAGE, NY 11714-6017
Phone number: 516-355-8757
Mailing Address
MRS. ANISHA SARA JACOB NP
18 SEITZ DR
BETHPAGE, NY 11714-6017
Phone number: 516-355-8757
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