Individual
DR. LUCIENNE JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1619 PITKIN AVE, BROOKLYN, NY 11212-5045
(718) 342-4300
(718) 554-1553
Mailing address
1619 PITKIN AVE, BROOKLYN, NY 11212-5045
(718) 342-4300
(718) 554-1553
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007199
NY
Other
Enumeration date
09/27/2008
Last updated
06/19/2012
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