Individual provider · Type 1 NPI
Judd Jacob, PT, CLS
Clinical Laboratory Director (Non-physician) · Yonkers, NY
NPI number
1407152333
Active
Practice location
340 S Broadway
Yonkers, NY 10705-2049
Fax (914) 968-5123
Mailing address
174 Grand St
White Plains, NY 10601-4803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 032031 (NY) |
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | 014999 (NY) |
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | 226448 |
Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
17 other providers at this address
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- Amruta Tandel, PTPhysical Therapist Yonkers, NY NPI 1407115223
- Anila Sabu JosephPhysical Therapist Yonkers, NY NPI 1790283703
- Avraam Pipko, PAPhysician Assistant Yonkers, NY NPI 1801079082
- Bryan Dagaraga, PTPhysical Therapist Yonkers, NY NPI 1649301318
- Jeejo Joseph, PTPhysical Therapist Yonkers, NY NPI 1174892012
- Jijo M. John, PTPhysical Therapist Yonkers, NY NPI 1396019519
- John Paul Bucci, DCChiropractor Yonkers, NY NPI 1780607804
- Lara Kristine Joy TabotaboPhysical Therapist Yonkers, NY NPI 1881249761
- Laxman Vajiravelu Sengunthar, PTPhysical Therapist Yonkers, NY NPI 1952683237
- Lloyd Pinili, PTPhysical Therapist Yonkers, NY NPI 1750313128
- Neha Omprakash Mundra, PTPhysical Therapist Yonkers, NY NPI 1487887865
About NPI 1407152333
Judd Jacob, PT, CLS's National Provider Identifier is 1407152333, issued on Feb 10, 2011. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Yonkers, NY. The record was last updated on Apr 13, 2016.