person
Jacob Thengampallil
Psychiatric/Mental Health Nurse Practitioner in Orangeburg, New York
NPI 1447748843

Jacob Thengampallil is a Psychiatric/Mental Health Nurse Practitioner based in Orangeburg, NY and is specialized in Psychiatric/Mental Health. Jacob Thengampallil practices in Orangeburg, NY. The NPI Number for Jacob Thengampallil is 1447748843 and holds a License No. 592600 (New York).

The current practice location address for Jacob Thengampallil is 140 Old Orangeburg Rd, Orangeburg, NY and can be reached out via phone at 845-680-8694.

Location: 140 Old Orangeburg Rd, Orangeburg, NY, 10962-1157
person
Provider Profile Details
NPI Number
1447748843
Provider Name
Jacob Thengampallil
Credential
Provider Entity Type
Individual
Gender
Male
Address
140 Old Orangeburg Rd, Orangeburg, NY, 10962-1157
Phone Number
845-680-8694
Fax Number
Provider Enumeration Date
05/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
140 Old Orangeburg Rd
City
State
Zip
10962-1157
Phone Number
845-680-8694
Fax Number
person
Provider Business Mailing Address Details
Address
140 Old Orangeburg Rd
City
State
Zip
10962-1157
Phone Number
845-680-8694
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
403172 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
592600 (New York)
Definition
Definition to come...
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