Organization
BRIDGE DERMATOPATHOLOGY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JACOBSON MD (OWNER)
(914) 345-1100
Entity
Organization
Contact information
Practice address
560 WHITE PLAINS RD FL 6, TARRYTOWN, NY 10591-5113
(914) 345-1101
Mailing address
560 WHITE PLAINS RD FL 6, TARRYTOWN, NY 10591-5113
(914) 345-1100
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
06/02/2021
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