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Dr. Benna Thayil Jacob, DO
Student in an Organized Health Care Education/Training Program in Mineola, New York
NPI 1477247948

Benna Thayil Jacob is a Student in an Organized Health Care Education/Training Program based in Plainview, NY. Benna Thayil Jacob practices in Mineola, NY and has the professional credentials of DO. The NPI Number for Benna Thayil Jacob is 1477247948 and holds a License No. (New York).

The current practice location address for Benna Thayil Jacob is 222 Station Plz N Ste 509, Mineola, NY and can be reached out via phone at 516-663-2381.

Location: 222 Station Plz N Ste 509, Mineola, NY, 11803-1218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477247948
Provider Name
Benna Thayil Jacob
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
222 Station Plz N Ste 509, Mineola, NY, 11803-1218
Phone Number
516-663-2381
Fax Number
Provider Enumeration Date
06/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
222 Station Plz N Ste 509
City
Mineola
State
New York
Zip
11501-3893
Phone Number
516-663-2381
Fax Number
person
Provider Business Mailing Address Details
Address
222 Station Plz N Ste 509
City
Mineola
State
New York
Zip
11501-3893
Phone Number
516-663-2381
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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