Jemi Jacob

NPI #1174062467 in Bronx, New York

Provider Information

NPI Number: 1174062467
Entity Type: Individual
Name: Jemi Jacob
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 20, 2017
Last Updated: Aug 21, 2019

Practice Location

Address: 111 E 210TH ST
City: Bronx
State: New York
ZIP Code: 10467-2401
Phone: (718) 920-4321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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