Jacobs, Allan

Jacobs, Allan is an individual health care provider with primary practice located at 146-01 45Th Ave Ste 203, Flushing NY 11355. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Jacobs, Allan can be contacted via phone (718) 670-5792.

Contact Information

Primary practice address
146-01 45Th Ave Ste 203 Flushing NY 11355
Phone: (718) 670-5792
Fax: (718) 670-5966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 116843 New York
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 116843 New York

Profile Details

NPI number 1669435962
LBN Legal business name Jacobs, Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jan 17th, 2013 - about 12 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 1669435962 NPPES
New York MEDICAID 01191166

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