# TIKVA JACOBS MD PC

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

## Provider details

- **NPI number:** 1154647451
- **Authorized official:** TIKVA JACOBS MD (MD)
- **Authorized official phone:** (212) 288-9800

## Contact information

- **Practice address:** 1125 5TH AVE, NEW YORK, NY 10128-0143
- **Practice address phone:** (212) 288-9800
- **Practice address fax:** (212) 860-7446
- **Mailing address:** 1125 5TH AVE, NEW YORK, NY 10128-0143
- **Mailing address phone:** (212) 288-9800
- **Mailing address fax:** (212) 860-7446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 214917 | NY | — |
| 2086S0129X | Vascular Surgery Physician | 214917 | NY | Yes |

## Other

- **Enumeration date:** 04/12/2010
- **Last updated:** 04/12/2010