Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN RUSSELL JACOBSON, PH.D.
Active Sole ProprietorDR. JOHN RUSSELL JACOBSON, PH.D. is a Local Education Agency healthcare provider located in EAST NORTHPORT, New York. NPI 1508992173 is currently active in the NPPES registry. Verify at CMS.
Local Education Agency · EAST NORTHPORT, NY
Registration Details
- NPI Number
- 1508992173
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2007 (19.505590595979 yrs)
- Last Updated
- Jul 9, 2007
- License
-
008596-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14 ACORN DREAST NORTHPORT, NY, 117311302Browse NY providers · Browse ZIP 11731
- Phone
- 6317545892
- Primary Specialty
-
Local Education Agency
251300000X
Other Local Education Agency Providers in EAST NORTHPORT, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. MONICA ANN SHAFFERY | MS IN EDUCATION | 1407995566 |
| MS. KYLE STANFORD | — | 1407990658 |
| MRS. KAREN MAHER | — | 1225310451 |
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.