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1891452959
ANISHA SARA JACOB
BETHPAGE, NY
NPI
1891452959
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Other Name
ANISHA SARA CHACKO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 347205)
Enumeration Date
2021-11-23
Last Update Date
2021-11-23
Business Address
Mrs. ANISHA SARA JACOB NP
18 SEITZ DR
BETHPAGE, NY 11714-6017
Phone number: 516-355-8757
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Mailing Address
Mrs. ANISHA SARA JACOB NP
18 SEITZ DR
BETHPAGE, NY 11714-6017
Phone number: 516-355-8757
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