NPI 1003504325
Awosely Jacob
Practice location
- Address
- 2041 Elk Dr, Far Rockaway, NY 11691-3613
- Phone
- (929) 338-2412
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1003504325
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Apr 2023
- Record last updated
- 25 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.