Individual
DR. JACOB JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 FRANKLIN AVE, GARDEN CITY, NY 11530-2933
(516) 620-0894
Mailing address
901 FRANKLIN AVE, GARDEN CITY, NY 11530-2933
(516) 620-0894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
323120
NY
Other
Enumeration date
03/28/2018
Last updated
08/02/2023
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