Whalio Doctors

NPI 1255866372

Jacobs Radiology PLLC

Organisation Phlebology Physician Rockville Centre, NY

Practice location

Address
24 Maple Ave STE 2, Rockville Centre, NY 11570-4259
Phone
(516) 865-1234

Authorised official

Name
David T Jacobs
Title
Owner
Phone
(516) 865-1234

Registered specialties (2)

Phlebology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 202K00000X
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 257302-1 (NY)

Registry record

NPI
1255866372
Entity type
Organization
NPI issued
26 Apr 2017
Record last updated
31 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.