Individual
DR. SANFORD JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
32-16 BROADWAY, FAIR LAWN, NJ 07410
(201) 796-3071
Mailing address
265-02 74TH AVE, GLEN OAKS, NY 11004
(917) 803-4200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
050481
NY
1223G0001X
General Practice Dentistry
Primary
22879
NJ
Other
Enumeration date
09/15/2006
Last updated
12/20/2011
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