Jacob Robert Peacock
Pain Medicine
1414 Newkirk Ave
Brooklyn
, New York 11226-6599
Jacob Robert Peacock
Pain Medicine
1414 Newkirk Ave
Brooklyn
, New York 11226-6599
(718) 759-6100
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Jacob Robert Peacock
- 1414 Newkirk Ave
- Brooklyn, NY
- Zip : 11226-6599
- Phone : (718) 759-6100
Second Address
- Jacob Robert Peacock
- 1414 Newkirk Ave
- Brooklyn, NY
- Zip : 11226-6599
- Phone : (718) 759-6100
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 293819-1 | NY |
National Provider Identifier
| NPI | 1083050785 |
|---|---|
| Provider Name | Jacob Robert Peacock |
| First Address | Brooklyn, NY 11226-6599 |
| Second Address | Brooklyn, NY 11226-6599 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2013 |
| Last Update Date | 11/02/2019 |
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.