Individual
TIKVA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 E 70TH ST FL 8, NEW YORK, NY 10021-9800
(646) 962-8450
(646) 962-0323
Mailing address
520 E 70TH ST FL 8, NEW YORK, NY 10021-9800
(646) 962-8450
(646) 962-0323
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
214917
NY
2086S0129X
Vascular Surgery Physician
Primary
214917
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02647923
—
NY
Enumeration date
02/23/2006
Last updated
10/11/2023
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