Judd Jacob, PT, CLS

NPI #1407152333 in Yonkers, New York

Provider Information

NPI Number: 1407152333
Entity Type: Individual
Name: Judd Jacob, PT, CLS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Pathology - Clinical Laboratory Director, Non-physician
Credential: PT, CLS
Enumeration Date: Feb 10, 2011
Last Updated: Apr 13, 2016

Practice Location

Address: 340 S BROADWAY
City: Yonkers
State: New York
ZIP Code: 10705-2049
Phone: (914) 968-5125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Technician, Pathology - Clinical Laboratory Director, Non-physician — Clinical Laboratory Director, Non-physician	247ZC0005X	Primary

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