Search › New York › 183500000X
Matthew Jacob
NPI 1679993638 · on the registry since 2014 · sole proprietor
Practice
- Address
- 447 Doughty Blvd
Inwood, NY 11096 - Phone
- (516) 281-8820
- Organisation at this address
- Lifemed Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-17
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