Cosmetic Surgery of New York PC
NPI #1124229562 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1124229562
- Entity Type
- Organization
- Organization Name
- Cosmetic Surgery of New York PC
- Primary Specialty
- Specialist
- Enumeration Date
- May 31, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 4616 NESCONSET HWY
- State
- New York
- ZIP Code
- 11776-2563
- Phone
- (631) 473-7070
Authorized Official
- Name
- DR. ROBERT ALAN JACOBS, M.D.
- Title
- SURGEON
- Phone
- (631) 473-7070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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