# LAWRENCE MARC JACOBSON MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013192566
- **Authorized official:** DR. LAWRENCE M JACOBSON MD (OWNER)
- **Authorized official phone:** (212) 981-9812

## Contact information

- **Practice address:** 128 LEE AVE, BROOKLYN, NY 11211-8417
- **Practice address phone:** (212) 981-9812
- **Mailing address:** 128 LEE AVE, BROOKLYN, NY 11211-8417
- **Mailing address phone:** (212) 981-9812
- **Mailing address fax:** (212) 981-9813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 191576 | NY | Yes |

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 07/29/2025