Individual
DR. GLENN JAKOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8371 116TH ST, STE M2, RICHMOND HILL, NY 11418-3448
(718) 441-5700
(718) 441-5337
Mailing address
8371 116TH ST, STE M2, RICHMOND HILL, NY 11418-3448
(718) 441-5700
(718) 441-5337
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
197596
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01817927
—
NY
Enumeration date
06/10/2006
Last updated
10/08/2013
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