SearchNew York363LF0000X

Melissa Jacob, NP

NPI 1396661922 · on the registry since 2026

Practice

Address
21717 103rd Ave
Queens Village, NY 11429
Phone
(917) 613-4074

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-27

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