Organization
ROBERT JACOBSON SURGICAL PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAAM GERGIS (PRESIDENT)
(914) 241-4887
Entity
Organization
Contact information
Practice address
359 EAST MAIN STREET, MT KISCO, NY 10549
(914) 241-4887
(914) 241-7041
Mailing address
359 EAST MAIN STREET, MT KISCO, NY 10549
(914) 241-4887
(914) 241-7041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
017043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00570076
—
NY
01
—
3371159
NCPDP
—
Enumeration date
09/05/2006
Last updated
04/07/2021
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