JESU JACOB, D.O., P.C.
Medical Practice at Harned Rd, Commack, NY

License number
New York 235713
Category
Medical Practice
Type
Sports Medicine
Owner
Name: JESU JACOB D.O.
Title: OWNER/ CEO
Phone: (631) 670-7800
Address
Address
66 Harned Rd, Commack, NY 11725
National Provider ID: 1457630899
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JESU JACOB, D.O., PC

66 Harned Rd, Commack, NY 11725

Registration:
Jul 22, 2011
State ID:
4121511
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Jesu Jacob, 109 Sycamore Dr, New Hyde Park, NY 11040 (Physical)

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