| NPI | 1861750010 |
|---|---|
| Doing Business As | DR. GLADY JACOB MD |
| Entity Type | Organization |
| Authorized Contact | SALTZGABER LEE President 315-338-7232 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 003788-1) |
| Additional Taxonomies | 2084N0600X (Licence: NY 003788-1) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2013-03-26 |