Jacob, Mridula A
Jacob, Mridula A is an individual health care provider with primary practice located at 1729 Burrstone Rd , New Hartford NY 13413-1001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Jacob, Mridula A can be contacted via phone (315) 798-1434.Contact Information
Primary practice address
1729 Burrstone Rd
New Hartford NY 13413-1001
Phone: (315) 798-1434
Fax: (315) 798-1461
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 295165 | New York |
Profile Details
NPI number | 1023491701 |
---|---|
LBN Legal business name | Jacob, Mridula A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2015 |
Last updated | Jul 11th, 2024 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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