Organization
BRAD J. JACOBS, MD.PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD JUSTIN JACOBS MD (PRESIDENT)
(212) 831-7770
Entity
Organization
Contact information
Practice address
55 E 86TH ST, SUITE 1B, NEW YORK, NY 10028-1059
(212) 831-7770
(212) 831-7771
Mailing address
55 E 86TH ST, SUITE 1B, NEW YORK, NY 10028-1059
(212) 831-7770
(212) 831-7771
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
175524
NY
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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