Individual
JACOB THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7828
(315) 470-5811
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
199546
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
199546
NY
Other
Enumeration date
06/22/2005
Last updated
04/06/2026
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