Jacob, Jerry

Jacob, Jerry is an individual health care provider with primary practice located at 333 Route 25A Suite 225, Rocky Point NY 11778-8556. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Jacob, Jerry can be contacted via phone (631) 744-3671.

Contact Information

Primary practice address
333 Route 25A Suite 225 Rocky Point NY 11778-8556
Phone: (631) 744-3671
Fax: (631) 744-6205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 573032 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 105943 New York

Profile Details

NPI number 1538571799
LBN Legal business name Jacob, Jerry
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2014
Last updated Nov 27th, 2017 - about 7 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.

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