STANLEY JACOB

NEW HYDE PARK, NY
NPI1427207588
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  010018)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: NY  54101)
Enumeration Date2008-09-14
Last Update Date2013-07-15
Business Address
Dr. STANLEY JACOB D.D.S
69 NUGENT ST
NEW HYDE PARK, NY 11040-1959
Phone number: 516-476-5450
Mailing Address
Dr. STANLEY JACOB D.D.S
201 KYLES WAY
SHELTON, CT 06484-6621
Phone number: 516-476-5450