Individual
DR. ANDREW GENE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
132 N PARK AVE, ROCKVILLE CENTRE, NY 11570-4107
(516) 665-1029
Mailing address
14 VALLEY LN W, N WOODMERE, NY 11581-3633
(516) 791-1278
(516) 792-0196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034197
NY
1223G0001X
General Practice Dentistry
034197
NY
Other
Enumeration date
11/17/2005
Last updated
04/29/2024
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