Jacobs, David T
Jacobs, David T is an sole proprietor health care provider with primary practice located at 24 Maple Ave Ste 2 , Rockville Centre NY 11570-4259. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Jacobs, David T can be contacted via phone (516) 865-1234.Contact Information
Primary practice address
24 Maple Ave Ste 2
Rockville Centre NY 11570-4259
Phone: (516) 865-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | XXXXXXX | New York |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 257302 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 257302 | New York |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 257302 | New York |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 257302 | New York |
Profile Details
| NPI number | 1811225394 |
|---|---|
| LBN Legal business name | Jacobs, David T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2009 |
| Last updated | Sep 20th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811225394 | NPPES |
| New York | Other | 257302 | NYS LICENSE |
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