Jacob, Dianna Elizabeth

Jacob, Dianna Elizabeth is an individual health care provider with primary practice located at 111 E 210Th St , Bronx NY 10467-2401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Jacob, Dianna Elizabeth can be contacted via phone (718) 920-2451.

Contact Information

Primary practice address
111 E 210Th St Bronx NY 10467-2401
Phone: (718) 920-2451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 007635 New York

Profile Details

NPI number 1104014737
LBN Legal business name Jacob, Dianna Elizabeth
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers