Organization
NORTH SHORE MEDICAL REHABILITATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN JAKOBSEN DO (OWNER/PRESIDENT)
(718) 441-5700
Entity
Organization
Contact information
Practice address
8371 116TH ST, SUITE M2, RICHMOND HILL, NY 11418-3448
(718) 441-5700
(718) 441-5337
Mailing address
8371 116TH ST, SUITE M2, RICHMOND HILL, NY 11418-3448
(718) 441-5700
(718) 441-5337
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
10/26/2017
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