Individual
MR. BRADLEY S JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 WASHINGTON AVE, CEDARHURST, NY 11516-1913
(516) 374-2626
(516) 374-2746
Mailing address
116 WASHINGTON AVE, CEDARHURST, NY 11516-1913
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33360
NY
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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