person
Steven Jacobs, PA
Medical Physician Assistant in Lawrence, New York
NPI 1063488799

Steven Jacobs is a Medical Physician Assistant based in Lawrence, NY and is specialized in Medical. Steven Jacobs practices in Lawrence, NY and has the professional credentials of PA. The NPI Number for Steven Jacobs is 1063488799 and holds a License No. 007220 (New York).

The current practice location address for Steven Jacobs is 215 Rockaway Tpke, Lawrence, NY and can be reached out via phone at 516-374-5024 and via fax at 516-374-5816.

Location: 215 Rockaway Tpke, Lawrence, NY, 11559-1216
person
Provider Profile Details
NPI Number
1063488799
Provider Name
Steven Jacobs
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
215 Rockaway Tpke, Lawrence, NY, 11559-1216
Phone Number
516-374-5024
Fax Number
516-374-5816
Provider Enumeration Date
02/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2153542 05 NY
institution
Provider Business Practice Location Address Details
Address
215 Rockaway Tpke
City
State
Zip
11559-1216
Phone Number
516-374-5024
Fax Number
516-374-5816
person
Provider Business Mailing Address Details
Address
215 Rockaway Tpke
City
State
Zip
11559-1216
Phone Number
516-374-5024
Fax Number
516-374-5816
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
007220 (New York)
Definition
Definition to come...
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