Individual provider · Type 1 NPI

Jennie Z. Jacob, PHYSICIAN ASSISTANT

Physician Assistant · Setauket, NY

NPI number 1255695003 Active

Practice location

24 Research Way
Setauket, NY 11733-3487

Fax (631) 444-7620

Mailing address

24 Gehrig St
Commack, NY 11725-2007

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X015645 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255695003

Jennie Z. Jacob, PHYSICIAN ASSISTANT's National Provider Identifier is 1255695003, issued on Jun 26, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Setauket, NY. The record was last updated on Mar 18, 2016.