Thengampallil, Jacob

Thengampallil, Jacob is an individual health care provider with primary practice located at 140 Old Orangeburg Rd , Orangeburg NY 10962-1157. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Thengampallil, Jacob can be contacted via phone (845) 680-8694.

Contact Information

Primary practice address
140 Old Orangeburg Rd Orangeburg NY 10962-1157
Phone: (845) 680-8694
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 592600 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 403172 New York

Profile Details

NPI number 1447748843
LBN Legal business name Thengampallil, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2018
Last updated Nov 3rd, 2020 - about 4 years 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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