Shari Jacobs, | |
14402 Jewel Ave, Flushing, NY 11367-1744 | |
(718) 880-2050 | |
(718) 880-2052 |
Full Name | Shari Jacobs |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 14402 Jewel Ave, Flushing, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174789887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 215569 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Shari Jacobs, 14402 Jewel Ave Lowr Level, Flushing, NY 11367-1744 Ph: (718) 880-2050 | Shari Jacobs, 14402 Jewel Ave, Flushing, NY 11367-1744 Ph: (718) 880-2050 |
Alicia Marie Mcbride, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St Fl 1, Flushing, NY 11355 Phone: 718-670-1800 | |
David Ko, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13743 45th Ave, Flushing, NY 11355 Phone: 929-362-3006 Fax: 929-362-3026 | |
Efthemia Nicolopoulos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1800 Fax: 516-437-4167 | |
Lori R Hoch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14149 70th Rd, Flushing, NY 11367 Phone: 718-268-5282 | |
Kathleen Phung, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13743 45th Ave, Flushing, NY 11355 Phone: 929-362-3006 Fax: 929-362-3026 | |
Dr. Alan Davis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1033 | |
Pinchi Sundaram Srinivasan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1800 |