Individual
DR. LOUIS W JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4240 HUTCHINSON RIVER PKWY E, 4240 HUTCHINSON RIVER PKWY EAST, BRONX, NY 10475-4746
(718) 671-2233
(718) 671-2323
Mailing address
4240 HUTCHINSON RIVER PKWY E, 4240 HUTCHINSON RIVER PKWY EAST, BRONX, NY 10475-4746
(718) 671-2233
(718) 671-2323
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00413438
—
NY
Enumeration date
01/17/2008
Last updated
04/29/2008
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