Individual
ADAM E JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
739 IRVING AVE, STE 640, SYRACUSE, NY 13210
(315) 464-6255
(315) 464-6251
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008124
NY
363AS0400X
Surgical Physician Assistant
008124
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02848153
—
NY
Enumeration date
09/20/2006
Last updated
05/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us