Individual
ADAM JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1176 5TH AVE, E LEVEL, NEW YORK, NY 10029-6503
(212) 659-8557
Mailing address
5 E 98TH ST, BOX 1170, NEW YORK, NY 10029-6501
(212) 659-8557
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
206684
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01828422
—
NY
Enumeration date
07/26/2006
Last updated
05/25/2010
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