SearchNew York363LA2200X

Beena Jacob

NPI 1699201970 · on the registry since 2017 · sole proprietor

Practice

Address
101 Mineola Blvd Fl 2
Mineola, NY 11501
Phone
(516) 663-3511
Organisation at this address
Winthrop Community Medical Affiliates Pc
Winthrop Faculty Medical Affiliates University Faculty Practice Corpor
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Additional practice sites

  • 285 Middle Country Rd, Smithtown, NY

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
2021-03-19

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