Individual
DR. JILL E. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-0050
Mailing address
429 E 52ND ST, NEW YORK, NY 10022-6430
(212) 263-0050
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
223070
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1239270
—
NY
Enumeration date
04/18/2006
Last updated
06/04/2013
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