Individual
BEN Z JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1648 EAST 14TH STREET, SUITE #2, BROOKLYN, NY 11229-1175
(718) 336-6886
(718) 336-3945
Mailing address
1648 EAST 14TH STREET, SUITE #2, BROOKLYN, NY 11229-1175
(718) 336-6886
(718) 336-3945
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
168804
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01155146
—
NY
Enumeration date
07/12/2006
Last updated
02/12/2016
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