Yacobson, Alexander

Yacobson, Alexander is an individual health care provider with primary practice located at 665 Thwaites Pl , Bronx NY 10467-7947. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Yacobson, Alexander can be contacted via phone (914) 738-6435.

Contact Information

Primary practice address
665 Thwaites Pl Bronx NY 10467-7947
Phone: (914) 738-6435
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 005271

Profile Details

NPI number 1538132634
LBN Legal business name Yacobson, Alexander
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538132634 NPPES
New York MEDICAID 01650164

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