Individual
BENJAMIN JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
490 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2700
(516) 459-5557
Mailing address
490 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059797
NY
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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