| NPI | 1790347243 |
|---|---|
| Doing Business As | JACOB JACOBY MD PHD |
| Entity Type | Organization |
| Authorized Contact | JACOB JACOBY Owner 718-362-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |