Organization
HARRY S. JACOB MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY S JACOB M.D. (OWNER)
(516) 354-7900
Entity
Organization
Contact information
Practice address
2800 MARCUS AVE, SUITE 203, NEW HYDE PARK, NY 11042-1113
(516) 354-7900
(516) 354-7111
Mailing address
2800 MARCUS AVE, SUITE 203, NEW HYDE PARK, NY 11042-1113
(516) 354-7900
(516) 354-7111
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
112426
NY
Other
Enumeration date
08/25/2013
Last updated
08/25/2013
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