Individual
JESSICA JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 LAWRENCE AVE, INWOOD, NY 11096-2352
(516) 304-0050
Mailing address
160 LAGOON DR W, LIDO BEACH, NY 11561-4916
(516) 304-0500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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