Individual
CHRISTOPHER JACOBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 COMO PARK BLVD, CHEEKTOWAGA, NY 14227-1416
(716) 686-8460
(716) 686-8100
Mailing address
225 COMO PARK BLVD, CHEEKTOWAGA, NY 14227-1416
(716) 686-8460
(716) 686-8100
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
233263
NY
207R00000X
Internal Medicine Physician
Primary
233263
NY
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
233631
NY
208VP0000X
Pain Medicine Physician
233263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107182
—
NY
Enumeration date
06/10/2006
Last updated
02/18/2020
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