Individual
ELLIOT WILLIAM JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 PARK AVENUE, NEW YORK, NY 10021
(212) 570-6080
(212) 879-7002
Mailing address
815 PARK AVENUE, NEW YORK, NY 10021
(212) 570-6080
(212) 879-7002
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD112279
NY
208200000X
Plastic Surgery Physician
Primary
ME98407
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00348554
—
NY
Enumeration date
12/05/2006
Last updated
03/07/2023
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