Organization
NEW YORK NEUROSURGICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN KENNETH JACOBS M.D., PHD. (OWNER)
(845) 896-9200
Entity
Organization
Contact information
Practice address
4 LAFAYETTE CT, FISHKILL, NY 12524-3036
(845) 896-9200
(845) 896-3262
Mailing address
4 LAFAYETTE CT, FISHKILL, NY 12524-3036
(845) 896-9200
(845) 896-3262
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
170107
NY
207T00000X
Neurological Surgery Physician
Primary
60-170107
—
Other
Enumeration date
04/14/2008
Last updated
03/10/2014
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