Individual
DR. JEFFREY MICHAEL JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-8255
(607) 324-8774
Mailing address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-8255
(607) 324-8774
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101287638
VA
2085R0202X
Diagnostic Radiology Physician
Primary
168781-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000929320001
HEALTHNOW
NY
05
—
01718249
—
NY
01
—
10820256
CAQH
NY
01
—
178209FF
PREFERRED CARE
NY
01
—
198781
GREAT WEST LICENSE #
NY
01
—
7226804
AETNA
NY
Enumeration date
05/22/2006
Last updated
02/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us