Search › New York › 363AM0700X
Casey Jacobson, PA-C
NPI 1144921743 · on the registry since 2023 · sole proprietor
Practice
- Address
- 301 E Main St
Bay Shore, NY 11706 - Phone
- (631) 968-3000
- Organisation at this address
- Southside Hospital
Southside Hospital
Nslij Southside Hospital
Jeffrey Wanerman Md Pllc
New York Pain Consultants, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 519
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 207RC0200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York