Individual
DR. SETH M. JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623-2808
(585) 338-2700
(585) 242-9663
Mailing address
140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623-2808
(585) 338-2700
(585) 242-9663
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
205422
NY
207UN0901X
Nuclear Cardiology Physician
205422
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002135471
UNITED HEALTHCARE
—
01
—
000526915001
HEALTH NOW PARNALL
—
01
—
000526915002
HEALTH NOW LINDEN
—
05
—
02153964
—
NY
01
—
060062940
RAILROAD MEDICARE
—
01
—
301127
WELLCARE
—
01
—
6890
BCBS
—
01
—
7700317
AETNA
—
01
—
7701230
MVP
—
01
—
9682190
GHI
—
01
—
MDG121
PREFERRED CARE
—
01
—
PO10205422
GRIPA
—
01
—
RC60205422
RCIPA
—
Enumeration date
03/07/2006
Last updated
07/05/2023
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