DIANNA ELIZABETH JACOB

BRONX, NY
NPI1104014737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: NY  007635)
Enumeration Date2007-10-09
Last Update Date2007-10-09
Business Address
DIANNA ELIZABETH JACOB RPA-C
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-2451
Mailing Address
DIANNA ELIZABETH JACOB RPA-C
227 E 89TH ST APT 4A
NEW YORK, NY 10128-4382
Phone number: 917-747-0048
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