Jacobs, Steven

Jacobs, Steven is an individual health care provider with primary practice located at 215 Rockaway Tpke , Lawrence NY 11559-1216. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Jacobs, Steven can be contacted via phone (516) 374-5024.

Contact Information

Primary practice address
215 Rockaway Tpke Lawrence NY 11559-1216
Fax: (516) 374-5816
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 007220 New York

Profile Details

NPI number 1063488799
LBN Legal business name Jacobs, Steven
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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

Identifiers

StateTypeNumberIssuer
All States NPI 1063488799 NPPES
New York MEDICAID 2153542

Popular Providers