DR. Sophia Ann Jacob, MD

NPI #1013590348 in Mineola, New York

Provider Information

NPI Number
1013590348
Entity Type
Individual
Name
DR. Sophia Ann Jacob, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
MD
Enumeration Date
May 4, 2021
Last Updated
May 4, 2021

Practice Location

Address
222 STATION PLZ N STE 300
ZIP Code
11501-3893
Phone
(516) 663-8706

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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