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Mr. Robert A Jacobs, MD
Specialist in Port Jefferson Station, New York
NPI 1194810390

Robert A Jacobs is a Specialist based in Port Jefferson Station, NY. Robert A Jacobs practices in Port Jefferson Station, NY and has the professional credentials of MD. The NPI Number for Robert A Jacobs is 1194810390 and holds a License No. 133763 (New York).

The current practice location address for Robert A Jacobs is 4616 Nesconset Hwy, Port Jefferson Station, NY and can be reached out via phone at 631-473-7070 and via fax at 631-331-2654.

Location: 4616 Nesconset Hwy, Port Jefferson Station, NY, 11776-2563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194810390
Provider Name
Robert A Jacobs
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4616 Nesconset Hwy, Port Jefferson Station, NY, 11776-2563
Phone Number
631-473-7070
Fax Number
631-331-2654
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4616 Nesconset Hwy
City
Port Jefferson Station
State
New York
Zip
11776-2563
Phone Number
631-473-7070
Fax Number
631-331-2654
person
Provider Business Mailing Address Details
Address
4616 Nesconset Hwy
City
Port Jefferson Station
State
New York
Zip
11776-2563
Phone Number
631-473-7070
Fax Number
631-331-2654
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
133763 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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