MR. Richard G Jacobson, PAC

NPI #1750391280 in Glen Cove, New York

Provider Information

NPI Number
1750391280
Entity Type
Individual
Name
MR. Richard G Jacobson, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PAC
Enumeration Date
Aug 8, 2006
Last Updated
Feb 5, 2013

Practice Location

Address
101 SAINT ANDREWS LN
ZIP Code
11542-2254
Phone
(516) 674-7591

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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