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Organization
JOHN J. JACOBS
Active
Organization
JOHN J. JACOBS
Active
Other names
Feet First
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J. JACOBS PH.D., C-PED (OWNER)
(585) 442-4990
Entity
Organization
Contact information
Practice address
1900 CLINTON AVE S, ROCHESTER, NY 14618-5621
(585) 442-4990
(585) 442-7169
Mailing address
1900 CLINTON AVE S, ROCHESTER, NY 14618-5621
(585) 442-4990
(585) 442-7169
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01356032
—
NY
01
—
104442-GD
PREFERRED CARE
NY
01
—
FFI190146
BLUE CROSS BLUE SHIELD
NY
01
—
PFEET FIRST
MONROE PLAN
NY
Enumeration date
01/05/2007
Last updated
06/23/2008
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