Jacobson, Barry L.

Jacobson, Barry L. is an sole proprietor health care provider with primary practice located at 135-14 Jewel Ave , Flushing NY 11367. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Jacobson, Barry L. can be contacted via phone (718) 997-6453.

Contact Information

Primary practice address
135-14 Jewel Ave Flushing NY 11367
Phone: (718) 997-6453
Fax: (718) 793-8956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 045485 New York

Profile Details

NPI number 1538279625
LBN Legal business name Jacobson, Barry L.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jan 16th, 2023 - about 3 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 1538279625 NPPES
New York MEDICAID 01649187

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