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Organization
INTERNAL MEDICINE OF ROCKLAND PLLC
Active
Organization
INTERNAL MEDICINE OF ROCKLAND PLLC
Active
Other names
REENA JACOB MD
Organization subpart
No
Provider details
NPI number
Authorized official
REENA J JACOB MD (OWNER)
(845) 634-4567
Entity
Organization
Contact information
Practice address
20 SQUADRON BLVD, SUITE 350, NEW CITY, NY 10956-5200
(845) 634-4567
(845) 634-4564
Mailing address
20 SQUADRON BLVD, SUITE 350, NEW CITY, NY 10956-5200
(845) 634-4567
(845) 634-4564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02148603
—
NY
Enumeration date
06/12/2006
Last updated
08/08/2008
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