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Search › New York › 363LA2200X

Marykutty Jacob, ANP-C

NPI 1275836058 · on the registry since 2010

Practice

Address
450 Lakeville Rd
Suite M41
New Hyde Park, NY 11042
Phone
(516) 734-8500
Fax
(516) 734-8537
Organisation at this address
Northwell
Northwell Health Laboratories
True North Health Pharmacy, Inc
North Shore Health System Medical Faculty Group Practice Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
152

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York