Individual
MORTON JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 EAST 66TH STREET, NEW YORK, NY 10021
(212) 838-4243
(212) 838-7370
Mailing address
400 EAST 66TH STREET, NEW YORK, NY 10021
(212) 486-5529
(212) 758-6286
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
116305
NY
2085R0202X
Diagnostic Radiology Physician
Primary
116305
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002760132
—
NY
01
—
003896799
GHI
—
Enumeration date
09/21/2006
Last updated
07/16/2013
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