Jacobs, Morton

Jacobs, Morton is an individual health care provider with primary practice located at 400 East 66Th Street , New York NY 10021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Jacobs, Morton can be contacted via phone (212) 838-4243.

Contact Information

Primary practice address
400 East 66Th Street New York NY 10021
Phone: (212) 838-4243
Fax: (212) 838-7370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 116305 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 116305 New York

Profile Details

NPI number 1710086673
LBN Legal business name Jacobs, Morton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 16th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710086673 NPPES
New York MEDICAID 002760132
New York Other 003896799

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