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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AWOSELY JACOB

Active Sole Proprietor

AWOSELY JACOB is a Bus healthcare provider located in FAR ROCKAWAY, New York. NPI 1003504325 is currently active in the NPPES registry. Verify at CMS.

Bus · FAR ROCKAWAY, NY

Registration Details

NPI Number
1003504325
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2023 (3.3450106665095 yrs)
Last Updated
Apr 25, 2023
Sole Proprietor
Yes

Practice Information

Address
2041 ELK DR
FAR ROCKAWAY, NY, 116913613
Browse NY providers · Browse ZIP 11691
Phone
9293382412
Primary Specialty
Bus
343900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.