Jacoby, Michael

Jacoby, Michael is an individual health care provider with primary practice located at 100 Woods Rd , Valhalla NY 22033-3309. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Jacoby, Michael can be contacted via phone (914) 493-2844.

Contact Information

Primary practice address
100 Woods Rd Valhalla NY 22033-3309
Phone: (914) 493-2844
Fax: (703) 563-6256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 279663 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT197673 Pennsylvania

Profile Details

NPI number 1255652772
LBN Legal business name Jacoby, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2010
Last updated Dec 14th, 2015 - about 10 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 1255652772 NPPES
New York MEDICAID 04181682

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