Dr. Laurie G Jacobs
Geriatric Medicine
Medical Arts Pavilion 3400 Bainbridge Avenue
Bronx
, New York 10467
Dr. Laurie G Jacobs
Geriatric Medicine
Medical Arts Pavilion 3400 Bainbridge Avenue
Bronx
, New York 10467
(551) 996-2000
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Laurie G Jacobs
- 30 Prospect Avenue
- Hackensack, NJ
- Zip : 07601
- Phone : (551) 996-2000
Second Address
- Dr. Laurie G Jacobs
- Medical Arts Pavilion 3400 Bainbridge Avenue
- Bronx, NY
- Zip : 10467
- Phone : (866) 633-8255
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 25MA09916100 | NJ |
National Provider Identifier
| NPI | 1093890865 |
|---|---|
| Provider Name | Dr. Laurie G Jacobs |
| First Address | Hackensack, NJ 07601 |
| Second Address | Bronx, NY 10467 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2006 |
| Last Update Date | 09/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0530328 | (05) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.