Individual provider · Type 1 NPI

Jacob Louis Reep, MD

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

NPI number 1366021578 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Mailing address

18-07 Radburn Rd
Fair Lawn, NJ 07410-4541

Other practice locations

  • 185 S Orange Ave, Newark, NJ 07103-2757 · (732) 445-4636

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 1366021578

Jacob Louis Reep, MD's National Provider Identifier is 1366021578, issued on Apr 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 10, 2021.