Individual
DR. JESSICA LYNN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
462 1ST AVE, ROOM 4W1, NEW YORK, NY 10016-9196
(212) 263-6438
(212) 263-8284
Mailing address
462 1ST AVE, ROOM 4W1, NEW YORK, NY 10016-9196
(212) 263-6438
(212) 263-8284
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
204256
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
204256
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
204256
NY
Other
Enumeration date
10/03/2006
Last updated
12/02/2015
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