| Doctor Name: | MR. JACOB PALATHINKAL |
| NPI Number: | 1023313459 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | N.P |
| License Number: | F40134 |
| Business Practice Address: | 7559 263rd St Glen Oaks, NY - 110041150 |
| Business Phone Number: | 7184707000 |
| Business Fax Number: | |
| Mailing Address: | 7559 263rd St, GLEN OAKS |
| State: | NY |
| Postal Code: | 110041150 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/15/2011 |
| NPI Last Update Date: | 12/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | F40134 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |