Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB TYLER DEUBLER, PA-C
Active Sole ProprietorJACOB TYLER DEUBLER, PA-C is a Trauma Surgery healthcare provider located in PATCHOGUE, New York. NPI 1720760218 is currently active in the NPPES registry. Verify at CMS.
Trauma Surgery · PATCHOGUE, NY
Registration Details
- NPI Number
- 1720760218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2023 (2.8412104069344 yrs)
- Last Updated
- Feb 15, 2024
- License
-
031046 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 HOSPITAL RDPATCHOGUE, NY, 117724870Browse NY providers · Browse ZIP 11772
- Phone
- 5402876371
- Primary Specialty
-
Trauma Surgery
2086S0127X
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.