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Mr. Raymond Patrick Jacob, COTA
Medical Art Specialist/Technologist in Port Jervis, New York
NPI 1255515409

Raymond Patrick Jacob is a Medical Art Specialist/Technologist based in Port Jervis, NY and is specialized in Art, Medical. Raymond Patrick Jacob practices in Port Jervis, NY and has the professional credentials of COTA. The NPI Number for Raymond Patrick Jacob is 1255515409 and holds a License No. 002794 (New York).

The current practice location address for Raymond Patrick Jacob is 24 Ferguson Ave, Port Jervis, NY and can be reached out via phone at 914-443-7973.

Location: 24 Ferguson Ave, Port Jervis, NY, 12771-1605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255515409
Provider Name
Raymond Patrick Jacob
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
24 Ferguson Ave, Port Jervis, NY, 12771-1605
Phone Number
914-443-7973
Fax Number
Provider Enumeration Date
12/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24 Ferguson Ave
City
Port Jervis
State
New York
Zip
12771-1605
Phone Number
914-443-7973
Fax Number
person
Provider Business Mailing Address Details
Address
24 Ferguson Ave
City
Port Jervis
State
New York
Zip
12771-1605
Phone Number
914-443-7973
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
002794 (New York)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Art, Medical
Taxonomy
246ZA2600X
License No.
002794 (New York)
Definition
Definition to come...
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