Jeremy Jacob

NPI #1174413934 in Syosset, New York

Provider Information

NPI Number: 1174413934
Entity Type: Individual
Name: Jeremy Jacob
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 3, 2025
Last Updated: Jul 3, 2025

Practice Location

Address: 6851 JERICHO TPKE STE 125
City: Syosset
State: New York
ZIP Code: 11791-4454
Phone: (516) 780-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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