Jacobson, Andrew Gene
Jacobson, Andrew Gene is an sole proprietor health care provider with primary practice located at 6419 Myrtle Ave , Glendale NY 11385-6237. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jacobson, Andrew Gene can be contacted via phone (718) 456-8131.Contact Information
Primary practice address
6419 Myrtle Ave
Glendale NY 11385-6237
Phone: (718) 456-8131
Fax: (516) 791-3161
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 034197 | New York |
Profile Details
NPI number | 1922080654 |
---|---|
LBN Legal business name | Jacobson, Andrew Gene |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 17th, 2005 |
Last updated | Feb 15th, 2015 - about 8 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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