Organization
JACOB NACHUM OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB NACHUM O.D. (PRESIDENT)
(212) 425-2115
Entity
Organization
Contact information
Practice address
26 BROADWAY, SUITE 908, NEW YORK, NY 10004-1703
(212) 425-2115
(212) 425-2636
Mailing address
26 BROADWAY, SUITE 908, NEW YORK, NY 10004-1703
(212) 425-2115
(212) 425-2636
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TUV004313-01
NY
332H00000X
Eyewear Supplier
TUV004314-01
NY
Other
Enumeration date
02/04/2008
Last updated
04/27/2010
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