# ENJ MEDICAL PC

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

## Provider details

- **NPI number:** 1912311960
- **Authorized official:** DAVID MARTIN JACOBSON DO (OWNER)
- **Authorized official phone:** (347) 262-2427

## Contact information

- **Practice address:** 275 ROCKAWAY TPKE, SUITE A, LAWRENCE, NY 11559-1272
- **Practice address phone:** (516) 400-9302
- **Practice address fax:** (516) 400-9309
- **Mailing address:** 206 AVERY PL, CEDARHURST, NY 11516-1805
- **Mailing address phone:** (347) 262-2427
- **Mailing address fax:** (516) 400-9309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 267245 | NY | Yes |

## Other

- **Enumeration date:** 06/18/2014
- **Last updated:** 08/11/2014