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Beena Jacob
Adult Health Nurse Practitioner in Mineola, New York
NPI 1699201970

Beena Jacob is an Adult Health Nurse Practitioner based in Smithtown, NY and is specialized in Adult Health. Beena Jacob practices in Mineola, NY. The NPI Number for Beena Jacob is 1699201970 and holds a License No. F307794-1 (New York).

The current practice location address for Beena Jacob is 101 Mineola Blvd Fl 2, Mineola, NY and can be reached out via phone at 516-663-3511.

Location: 101 Mineola Blvd Fl 2, Mineola, NY, 11787-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699201970
Provider Name
Beena Jacob
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Mineola Blvd Fl 2, Mineola, NY, 11787-2912
Phone Number
516-663-3511
Fax Number
Provider Enumeration Date
05/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Mineola Blvd Fl 2
City
Mineola
State
New York
Zip
11501-4089
Phone Number
516-663-3511
Fax Number
person
Provider Business Mailing Address Details
Address
101 Mineola Blvd Fl 2
City
Mineola
State
New York
Zip
11501-4089
Phone Number
516-663-3511
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F307794-1 (New York)
Definition
Definition to come...
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