Provider Demographics
NPI:1265545792
Name:JACOBSON, ADAM SAUL (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:SAUL
Last Name:JACOBSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:160 E 34TH ST
Mailing Address - Street 2:SEVENTH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4744
Mailing Address - Country:US
Mailing Address - Phone:212-731-5329
Mailing Address - Fax:212-731-5502
Practice Address - Street 1:160 E 34TH ST
Practice Address - Street 2:SEVENTH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4744
Practice Address - Country:US
Practice Address - Phone:212-731-5329
Practice Address - Fax:212-731-5502
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2022-08-29
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Provider Licenses
StateLicense IDTaxonomies
NY230004207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY230004OtherMEDICAL LICENSE