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
Fax: (516) 791-3161

Health care specialties

SpecialtyCodeLicense #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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