Jennie Z Jacob, PHYSICIAN ASSISTANT

NPI #1255695003 in Setauket, New York

Provider Information

NPI Number
1255695003
Entity Type
Individual
Name
Jennie Z Jacob, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Jun 26, 2012
Last Updated
Mar 18, 2016

Practice Location

Address
24 RESEARCH WAY
ZIP Code
11733-3487
Phone
(631) 444-6270

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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