SearchNew York172A00000X

Jeffrey Jacobsen

NPI 1710349865 · on the registry since 2016

Practice

Address
1007 Chamberlin Hill Rd Ext
West Sand Lake, NY 12196
Phone
(518) 300-9662

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-03-27

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