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Organization
NASSAU PULMONARY & CRITICAL CARE MEDICINE PC
Active
Organization
NASSAU PULMONARY & CRITICAL CARE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHEL C JACOBS MD (OWNER)
(516) 773-6300
Entity
Organization
Contact information
Practice address
891 NORTHERN BLVD, SUITE 203, GREAT NECK, NY 11021-5334
(516) 773-6300
(516) 706-4700
Mailing address
891 NORTHERN BLVD, SUITE 203, GREAT NECK, NY 11021-5305
(516) 773-6300
(516) 706-4700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
10/29/2014
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