Jacobs, Elliot William
Jacobs, Elliot William is an individual health care provider with primary practice located at 815 Park Avenue , New York NY 10021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Jacobs, Elliot William can be contacted via phone (212) 570-6080.Contact Information
Primary practice address
815 Park Avenue
New York NY 10021
Phone: (212) 570-6080
Fax: (212) 879-7002
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD112279 | New York |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME98407 | Florida |
Profile Details
NPI number | 1356409866 |
---|---|
LBN Legal business name | Jacobs, Elliot William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 5th, 2006 |
Last updated | Mar 7th, 2023 - about 2 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 | 1356409866 | NPPES |
New York | MEDICAID | 00348554 |
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