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Jeffrey Jacobsen
Driver in West Sand Lake, New York
NPI 1710349865

Jeffrey Jacobsen is a Driver based in West Sand Lake, NY. Jeffrey Jacobsen practices in West Sand Lake, NY. The NPI Number for Jeffrey Jacobsen is 1710349865 and holds a License No. 525239035 (New York).

The current practice location address for Jeffrey Jacobsen is 1007 Chamberlin Hill Rd Ext, West Sand Lake, NY and can be reached out via phone at 518-300-9662.

Location: 1007 Chamberlin Hill Rd Ext, West Sand Lake, NY, 12196-2818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710349865
Provider Name
Jeffrey Jacobsen
Credential
Provider Entity Type
Individual
Gender
Male
Address
1007 Chamberlin Hill Rd Ext, West Sand Lake, NY, 12196-2818
Phone Number
518-300-9662
Fax Number
Provider Enumeration Date
03/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1007 Chamberlin Hill Rd Ext
City
West Sand Lake
State
New York
Zip
12196-2818
Phone Number
518-300-9662
Fax Number
person
Provider Business Mailing Address Details
Address
1007 Chamberlin Hill Rd Ext
City
West Sand Lake
State
New York
Zip
12196-2818
Phone Number
518-300-9662
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
525239035 (New York)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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