NPI 1023491701

Mridula a Jacob, MD

Practitioner Allergy & Immunology Physician New Hartford, NY

Practice location

Address: 1729 Burrstone Rd, New Hartford, NY 13413-1001
Phone: (315) 798-1434
Fax: (315) 798-1461

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 295165 (NY)

Other Allergy & Immunology providers in New York →

Registry record

NPI: 1023491701
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2015
Record last updated: 11 Jul 2024

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.