SearchNew York363LF0000X

Raimol Jacob, NP

NPI 1720306350 · on the registry since 2010 · sole proprietor

Practice

Address
2488 Grand Concourse
4th Floor Room 424
Bronx, NY 10458
Phone
(212) 695-5122
Fax
(516) 484-6084
Organisation at this address
Tri Center
Tri Center
Vista Medical
Tri Center Inc
Tri Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
101

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
2010-05-06

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