Individual
DANIEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 FORT WASHINGTON AVE # HP8-875, NEW YORK, NY 10032-3722
(212) 305-7369
Mailing address
180 FORT WASHINGTON AVE # HP8-875, NEW YORK, NY 10032-3722
(212) 305-7369
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
342137
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2020
Last updated
07/12/2026
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