| William V Jacobson Md Pc | |
|
311 North St Ste 202 White Plains NY 10605-2232 | |
| (914) 949-1244 | |
| (914) 684-1336 |
| Full Name | William V Jacobson Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 311 North St Ste 202, White Plains, New York |
| Authorized Official Name and Position | William Jacobson (PRESIDENT) |
| Authorized Official Contact | 9149491244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William V Jacobson Md Pc 311 North St Ste 202 White Plains NY 10605-2232 Ph: (914) 949-1244 | William V Jacobson Md Pc 311 North St Ste 202 White Plains NY 10605-2232 Ph: (914) 949-1244 |
| NPI Number | 1417106527 |
|---|---|
| Provider Enumeration Date | 09/12/2008 |
| Last Update Date | 04/12/2023 |
| Medicare PECOS PAC ID | 7214986330 |
|---|---|
| Medicare Enrollment ID | O20090317000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417106527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William V Jacobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801803556 PECOS PAC ID: 9638169303 Enrollment ID: I20040514000450 |
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