Jacob Thengampallil
NPI #1447748843 in Orangeburg, New York
Provider Information
- NPI Number
- 1447748843
- Entity Type
- Individual
- Name
- Jacob Thengampallil
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- May 1, 2018
- Last Updated
- Nov 3, 2020
Practice Location
- Address
- 140 OLD ORANGEBURG RD
- City
- Orangeburg
- State
- New York
- ZIP Code
- 10962-1157
- Phone
- (845) 680-8694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health, Adult — Psychiatric/Mental Health, Adult |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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