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Individual

DR. DAVID SAMUEL JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 WESTAGE BUSINESS CTR DR, SUITE 280, FISHKILL, NY 12524-2260
(800) 835-3723
(888) 847-0818
Mailing address
300 WESTAGE BUSINESS CTR DR, SUITE 280, FISHKILL, NY 12524-2260
(800) 835-3723
(888) 847-0818

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
01057935A
IN
2085N0700X
Neuroradiology Physician
35-061126
OH
2085N0700X
Neuroradiology Physician
35312
IA
2085N0700X
Neuroradiology Physician
39853
TN
2085R0202X
Diagnostic Radiology Physician
01057935A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
35-061126
OH
2085R0202X
Diagnostic Radiology Physician
35312
IA
2085R0202X
Diagnostic Radiology Physician
39853
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0845741
OH
Enumeration date
11/11/2005
Last updated
09/22/2015
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