Sharaby, Jacob S
Sharaby, Jacob S is an individual health care provider with primary practice located at 770 Ocean Pkwy Suite 1A, Brooklyn NY 11230-2184. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Other Service Providers / Specialist is his primary health care specialty. Sharaby, Jacob S can be contacted via phone (718) 941-2002.Contact Information
Primary practice address
770 Ocean Pkwy Suite 1A
Brooklyn NY 11230-2184
Phone: (718) 941-2002
Fax: (718) 287-7719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 195122 | New York |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 195122 | New York |
Profile Details
| NPI number | 1386619443 |
|---|---|
| LBN Legal business name | Sharaby, Jacob S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jun 15th, 2016 - about 10 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 | 1386619443 | NPPES |
| New York | MEDICAID | 02006917 |
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