Individual
MARC JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
229 PARRISH ST STE 100, CANANDAIGUA, NY 14424-1791
(585) 394-1960
(585) 393-9232
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 394-1960
(585) 393-9232
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
027776
NY
Other
Enumeration date
11/04/2021
Last updated
03/11/2022
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