Jerry Jacob, CRNA

NPI #1538571799 in Rocky Point, New York

Provider Information

NPI Number: 1538571799
Entity Type: Individual
Name: Jerry Jacob, CRNA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: CRNA
Enumeration Date: May 22, 2014
Last Updated: May 29, 2025

Practice Location

Address: 333 ROUTE 25A
Address 2: SUITE 225
City: Rocky Point
State: New York
ZIP Code: 11778-8556
Phone: (631) 744-3671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary
Nurse Anesthetist, Certified Registered	367500000X

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