Individual
DR. REUBEN PAUL JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
327 E 64TH ST RM 520, NEW YORK, NY 10065-6704
(646) 608-1374
Mailing address
1134 1ST AVE APT 6R, NEW YORK, NY 10065-7983
(919) 793-8852
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
298512
NY
Other
Enumeration date
05/11/2012
Last updated
08/07/2019
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