Organization
TRISTATE PHYSICAL MEDICINE & REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JACOBSON M.D. (OWNER)
(631) 367-0177
Entity
Organization
Contact information
Practice address
5822 BROADWAY, BRONX, NY 10463-2454
(718) 549-3185
(718) 884-5002
Mailing address
5822 BROADWAY, BRONX, NY 10463-2454
(718) 549-3185
(718) 884-5002
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
183866
NY
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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