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Mini Jacob, RPH
NPI 1841473220 · on the registry since 2007
Practice
- Address
- 11910 Liberty Ave
South Richmond Hill, NY 11419 - Phone
- (718) 835-2542
- Fax
- (718) 641-3044
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-15
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