Individual
JASON DAVID JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
118 N BEDFORD RD, SUITE 200, MOUNT KISCO, NY 10549-2553
(914) 666-8866
(914) 666-6777
Mailing address
118 N BEDFORD RD, SUITE 200, MOUNT KISCO, NY 10549-2553
(914) 666-8866
(914) 666-6777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
251215
NY
Other
Enumeration date
04/23/2008
Last updated
10/21/2014
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