Individual
ANDREW JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5600 SUNRISE HWY, SAYVILLE, NY 11782-1017
(631) 563-7828
(631) 563-7837
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
(646) 846-3283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
296966
NY
Other
Enumeration date
03/29/2016
Last updated
09/09/2019
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