Organization
CHAIM A JAKOB DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEN JAKOB D.M.D (OWNER)
(917) 535-3679
Entity
Organization
Contact information
Practice address
501 5TH AVE, SUITE 2101, NEW YORK, NY 10017-6107
(212) 969-0155
Mailing address
501 5TH AVE, SUITE 2101, NEW YORK, NY 10017-6107
(212) 969-0155
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
057602
NY
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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