| Miss Stacy Jacob, | |
|
475 Seaview Ave, Staten Island, NY 10305-3436 | |
| (718) 266-9000 | |
| Not Available |
| Full Name | Miss Stacy Jacob |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 475 Seaview Ave, Staten Island, 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 |
|---|---|---|---|
| 1104333178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 329541-1 (New York) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Stacy Jacob, 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-9000 | Miss Stacy Jacob, 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 266-9000 |
Mrs. Dawn Marie Cottone, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9508 Fax: 718-226-8365 | |
Samantha Signorile, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Campus Rd, Staten Island, NY 10301 Phone: 718-390-3100 | |
Mrs. Magdalena Rakvin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9500 Fax: 718-226-5822 | |
Regina Goldberg, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 Seaview Ave, Suite 240, Staten Island, NY 10305 Phone: 718-667-1777 Fax: 718-667-4380 | |
Sarina Aliza Shuster, Physician Assistant Medicare: Medicare Enrolled Practice Location: 22 Rupert Ave, Staten Island, NY 10314 Phone: 917-502-8705 | |
Mr. Ryan Joseph Raiola, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 243 Watchogue Rd, Staten Island, NY 10314 Phone: 347-558-1455 | |
Mr. Adam Joseph Torres, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 South Ave, Staten Island, NY 10314 Phone: 718-226-6461 |