Individual provider · Type 1 NPI

Mridula A. Jacob, MD

Allergy & Immunology Physician · New Hartford, NY

NPI number 1023491701 Active

Practice location

1729 Burrstone Rd
New Hartford, NY 13413-1001

Fax (315) 798-1461

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	295165 (NY)
Allergy & Immunology Physician Primary	207K00000X	295165 (NY)

Allergy & Immunology Physician: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune dise…

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About NPI 1023491701

Mridula A. Jacob, MD's National Provider Identifier is 1023491701, issued on Jun 30, 2015. The primary taxonomy on file is Allergy & Immunology Physician (207K00000X), and the practice location is in New Hartford, NY. The record was last updated on Oct 7, 2026.