Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID T JACOBS, MD
Active Sole ProprietorDR. DAVID T JACOBS, MD is a 202K00000X healthcare provider located in ROCKVILLE CENTRE, New York. NPI 1811225394 is currently active in the NPPES registry. Verify at CMS.
202K00000X · ROCKVILLE CENTRE, NY
Registration Details
- NPI Number
- 1811225394
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2009 (16.76397093455 yrs)
- Last Updated
- Sep 20, 2018
- Licenses
-
XXXXXXX (NY)257302 (NY)257302 (NY)257302 (NY)257302 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24 MAPLE AVE STE 2ROCKVILLE CENTRE, NY, 115704259Browse NY providers · Browse ZIP 11570
- Phone
- 5168651234
- Primary Specialty
-
202K00000X
202K00000X
- Additional Specialty
- Pediatric Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Therapeutic Radiology
- Additional Specialty
- 202K00000X
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.