Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUDD JACOB, PT, CLS
ActiveJUDD JACOB, PT, CLS is a 247ZC0005X healthcare provider located in YONKERS, New York. NPI 1407152333 is currently active in the NPPES registry. Verify at CMS.
247ZC0005X · YONKERS, NY
Registration Details
- NPI Number
- 1407152333
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2011 (15.504655783745 yrs)
- Last Updated
- Apr 13, 2016
- Licenses
-
032031 (NY)014999 (NY)226448
Practice Information
- Address
-
340 S BROADWAYYONKERS, NY, 107052049Browse NY providers · Browse ZIP 10705
- Phone
- 9149685125
- Fax
- 9149685123
- Primary Specialty
-
247ZC0005X
247ZC0005X
- Additional Specialty
- 247ZC0005X
- Additional Specialty
- 247ZC0005X
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.