Jacobs, Michael

Jacobs, Michael is an individual health care provider with primary practice located at 351 Atlantic Ave , Massapequa Park NY 11762-1627. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Jacobs, Michael can be contacted via phone (516) 459-8365.

Contact Information

Primary practice address
351 Atlantic Ave Massapequa Park NY 11762-1627
Phone: (516) 459-8365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1144643859
LBN Legal business name Jacobs, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2014
Last updated Jan 31st, 2014 - about 11 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