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DR. MICHAEL IRA JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
407 E 70TH ST, NEW YORK, NY 10021-5302
(212) 772-7190
(212) 396-1698
Mailing address
407 E 70TH ST, NEW YORK, NY 10021-5302
(212) 772-7190
(212) 396-1698

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
134716
NY
207NS0135X
Procedural Dermatology Physician
Primary
134716
NY

Other

Enumeration date
11/11/2005
Last updated
09/11/2025
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