Individual
ALLAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146-01 45TH AVE, STE 203, FLUSHING, NY 11355
(718) 670-5792
(718) 670-5966
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-8366
(631) 454-4161
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
116843
NY
207VX0201X
Gynecologic Oncology Physician
116843
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01191166
—
NY
Enumeration date
04/08/2006
Last updated
01/17/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us