Individual
JACOB ROBERT PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 CLIFTON PL APT 1A, BROOKLYN, NY 11238-7218
(616) 894-1615
Mailing address
102 CLIFTON PL APT 1A, BROOKLYN, NY 11238-7218
(616) 894-1615
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
293819-1
NY
Other
Enumeration date
05/21/2013
Last updated
07/19/2022
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