Individual provider · Type 1 NPI

Jacob Birk, MD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1205242633 Active

Practice location

450 Clarkson Avenue,, Department Suny Downstate Medical Center
Brooklyn, NY 11203

Mailing address

450 Clarkson Avenue, Box 1262, Department Suny Downstate Medical Center
Brooklyn, NY 11203

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205242633

Jacob Birk, MD's National Provider Identifier is 1205242633, issued on Jul 7, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 7, 2014.