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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538279625 | NPPES |
| New York | MEDICAID | 01649187 |
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