Jacob Jacoby Md

Specialty details in registry · Suffern, NY

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At a glance

100 Route 59 Ste 103, Suffern, NY 10901-4927

NPPES record updated Jul 5, 2019. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

100 Route 59 Ste 103
Suffern, NY 10901-4927
Professional details: NPI, taxonomy & registry record
NPI1790347243
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM1300X
Enumeration date
Jul 5, 2019
Record updated
Jul 5, 2019
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QM1300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

100 Route 59 Ste 103
Suffern, NY 10901-4927
Phone
(718) 362-8184
Fax
(718) 362-1651
Mailing address
612 CORPORATE WAY STE 2M

VALLEY COTTAGE, NY 109892027
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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