Organization
TANYA JACOBSON, OD., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA DINA JACOBSON O.D. (PROPRIETOR)
(917) 854-2430
Entity
Organization
Contact information
Practice address
379 KNICKERBOCKER AVE, BROOKLYN, NY 11237-3701
(718) 418-1268
Mailing address
535 CROWN ST, BROOKLYN, NY 11213-5126
(917) 854-2430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005630-1
NY
Other
Enumeration date
07/03/2006
Last updated
08/22/2020
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