Whalio Doctors

NPI 1811225394

David T Jacobs, MD

Practitioner Phlebology Physician Rockville Centre, NY

Practice location

Address
24 Maple Ave STE 2, Rockville Centre, NY 11570-4259
Phone
(516) 865-1234
Mailing address
316 Edward Ave, Woodmere, NY 11598-2823

Registered specialties (5)

Phlebology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 257302 (NY)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence XXXXXXX (NY)
Pediatric Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085P0229X Licence 257302 (NY)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 257302 (NY)
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 257302 (NY)

Registry record

NPI
1811225394
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Nov 2009
Record last updated
20 Sep 2018

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.