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General NPI Number Information
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NPI Number | 1174135115
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Entity Type | Organization
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Legal Business Name | JEFFREY JACOBSON, M.D., P.C.
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 19 BRADHURST AVE SUITE 2900 S
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City | HAWTHORNE
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State | NY
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Zip | 10532
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Country | US
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Telephone | 914-421-0123
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Fax | 888-381-4542
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Provider Business Mailing Address
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Address Line | 107 N GREELEY AVE # 84
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City | CHAPPAQUA
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State | NY
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Zip | 10514
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Country | US
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Telephone | 914-421-0123
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Fax | 888-381-4542
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY JACOBSON
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Credential | MD
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Telephone | 914-421-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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