MR. Jacob Angelou

NPI #1619238714 in Islip, New York

Provider Information

NPI Number: 1619238714
Entity Type: Individual
Name: MR. Jacob Angelou
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 5, 2012
Last Updated: Jun 5, 2012

Practice Location

Address: 38 ELM ST
City: Islip
State: New York
ZIP Code: 11751-2804
Phone: (631) 650-1575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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