TRAVIS LEE JACOBS

BROOKLYN, NY
NPI1154555761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  1086052)
Enumeration Date2009-05-11
Last Update Date2022-08-27
Business Address
TRAVIS LEE JACOBS Physician Assistant
1523 VOORHIES AVE
BROOKLYN, NY 11235-3912
Phone number: 718-808-9101
Mailing Address
TRAVIS LEE JACOBS Physician Assistant
354 LIBERTY WAY APT 3B
BROOKLYN, NY 11209-8528
Phone number: 315-778-8749