| Nathaniel Jacob Dds Pllc | |
|
100 Washington St Suite Lb1 Hempstead NY 11550-3147 | |
| (516) 483-8383 | |
| (516) 483-1116 |
| Full Name | Nathaniel Jacob Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 100 Washington St, Hempstead, New York |
| Authorized Official Name and Position | Nathaniel Jacob (OWNER) |
| Authorized Official Contact | 5166406892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Jacob Dds Pllc 100 Washington St Suite Lb1 Hempstead NY 11550-3147 Ph: (516) 483-8383 | Nathaniel Jacob Dds Pllc 100 Washington St Suite Lb1 Hempstead NY 11550-3147 Ph: (516) 483-8383 |
| NPI Number | 1578010245 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 09/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578010245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 057405 (New York) | Primary |
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