Gary Jacobs, OD

NPI #1366406399 in Syracuse, New York

Provider Information

NPI Number: 1366406399
Entity Type: Individual
Name: Gary Jacobs, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 684 ALLEN ST
City: Syracuse
State: New York
ZIP Code: 13210-2664
Phone: (315) 472-2777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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