Individual
DR. JEREMY DANIEL JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
158 E 84TH ST, NEW YORK, NY 10028-2005
(212) 535-6340
(212) 535-2618
Mailing address
158 E 84TH ST, NEW YORK, NY 10028-2005
(212) 535-6340
(212) 535-2618
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
285218
NY
Other
Enumeration date
04/03/2013
Last updated
03/20/2020
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