Individual
JEFFREY MICA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, SUITE 2900 S, HAWTHORNE, NY 10532
(914) 421-0123
(888) 381-4542
Mailing address
107 N GREELEY AVE # 84, CHAPPAQUA, NY 10514
(914) 421-0123
(888) 381-4542
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
264192
NY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
264192
NY
Other
Enumeration date
08/28/2008
Last updated
05/13/2025
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