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NPI Code Detail

MEDICARE: JACOB ESSES

MEDICARE: JACOB ESSES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered Nurse805277NY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner407384NY

General Provider Information

NPI Number : 1528891140
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB ESSES
Provider Business Mailing Address
First Line : 1955 MCDONALD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-1805
Country : US
Telephone Number : 718-787-1600
Fax Number : 718-376-0206
Provider Business Practice Location Address
First Line : 1955 MCDONALD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-1805
Country : US
Telephone Number : 718-787-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2024
Last Update Date : 03/08/2026

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Directions to “ JACOB ESSES ” Practice Location

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