Individual
FRANCINE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
82 MIDDLE COUNTRY ROAD, ELSIE OWENS NORTH BROOKHAVEN HEALTH CENTER, CORAM, NY 11727
(631) 854-2301
(631) 854-2298
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
227972
NY
208000000X
Pediatrics Physician
Primary
MD2010-0581
NM
Other
Enumeration date
01/25/2007
Last updated
10/20/2017
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