Ackerman, Jacob L

Ackerman, Jacob L is an individual health care provider with primary practice located at 1901 Utica Ave , Brooklyn NY 11234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ackerman, Jacob L can be contacted via phone (718) 968-8700.

Contact Information

Primary practice address
1901 Utica Ave Brooklyn NY 11234
Phone: (718) 968-8700
Fax: (718) 968-8743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 112574 New York

Profile Details

NPI number 1710083050
LBN Legal business name Ackerman, Jacob L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Apr 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710083050 NPPES
New York Other 180029308 RAILROAD MEDICARE
New York MEDICAID 00203892 RAILROAD MEDICARE
New York Other 0147830001 RAILROAD MEDICARE

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