Individual
DR. MARK I JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 WHITE PLAINS RD FL 6, TARRYTOWN, NY 10591-5113
(914) 345-1100
(914) 345-1101
Mailing address
560 WHITE PLAINS RD FL 6, TARRYTOWN, NY 10591-5113
(914) 345-1100
(914) 345-1101
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
173191-1
NY
207ZP0101X
Anatomic Pathology Physician
173191-1
NY
Other
Enumeration date
01/12/2006
Last updated
10/29/2020
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