institution
Jacob Jacoby Md
Multi-Specialty Clinic/Center in Suffern, New York
NPI 1790347243

Jacob Jacoby Md is a Multi-Specialty Clinic/Center based in Valley Cottage, NY and is specialized in Multi-Specialty. Jacob Jacoby Md practices in Suffern, NY. The NPI Number for Jacob Jacoby Md is 1790347243 and holds a License No. (New York).

The current practice location address for Jacob Jacoby Md is 100 Route 59 Ste 103, Suffern, NY and can be reached out via phone at 718-362-8184 and via fax at 718-362-1651. You can also correspond with Jacob Jacoby Md through the mailing address at 612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY - 10989-2027 (mailing address contact number: 718-362-8184).

Location: 100 Route 59 Ste 103, Suffern, NY, 10989-2027
institution
Provider Profile Details
NPI Number
1790347243
Provider Name
Jacob Jacoby Md
Credential
Provider Entity Type
Organization
Address
100 Route 59 Ste 103, Suffern, NY, 10989-2027
Phone Number
718-362-8184
Fax Number
718-362-1651
Provider Enumeration Date
07/05/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
02327411 05 NY
institution
Provider Business Practice Location Address Details
Address
100 Route 59 Ste 103
City
State
Zip
10901-4927
Phone Number
718-362-8184
Fax Number
718-362-1651
person
Provider Business Mailing Address Details
Address
100 Route 59 Ste 103
City
State
Zip
10901-4927
Phone Number
718-362-8184
Fax Number
718-362-1651
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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