Individual
JACOB M AGRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 SASSAFRAS ST, SUITE 200, ERIE, PA 16502-2716
(814) 452-7809
(814) 452-7848
Mailing address
2 SHORE DR, GREAT NECK, NY 11021-1711
(713) 705-2133
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
0101236471
VA
2085N0700X
Neuroradiology Physician
Primary
MD428507
PA
Other
Enumeration date
05/20/2006
Last updated
03/25/2026
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