Zachary Colin Jacobs
Adolescent Medicine
492 Montauk Hwy
East Moriches
, New York 11940-1347
Zachary Colin Jacobs
Adolescent Medicine
492 Montauk Hwy
East Moriches
, New York 11940-1347
(631) 444-0650
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Zachary Colin Jacobs
- Po Box 1559
- Stony Brook, NY
- Zip : 11790-0989
- Phone : (631) 444-0650
Second Address
- Zachary Colin Jacobs
- 492 Montauk Hwy
- East Moriches, NY
- Zip : 11940-1347
- Fax : (631) 878-8083
- Phone : (631) 638-2900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 279031 | NY |
National Provider Identifier
| NPI | 1215179973 |
|---|---|
| Provider Name | Zachary Colin Jacobs |
| First Address | Stony Brook, NY 11790-0989 |
| Second Address | East Moriches, NY 11940-1347 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2009 |
| Last Update Date | 15/05/2015 |
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.