Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZACHARY COLIN JACOBS, D.O.
ActiveZACHARY COLIN JACOBS, D.O. is a Adolescent Medicine (Pediatrics) healthcare provider located in EAST MORICHES, New York. NPI 1215179973 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · EAST MORICHES, NY
Registration Details
- NPI Number
- 1215179973
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2009 (17.430272354435 yrs)
- Last Updated
- May 15, 2015
- License
-
279031 (NY)
Practice Information
- Address
-
492 MONTAUK HWYEAST MORICHES, NY, 119401347Browse NY providers · Browse ZIP 11940
- Phone
- 6316382900
- Fax
- 6318788083
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.