Individual provider · Type 1 NPI

Robin P. Jacob

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

NPI number 1730742966 Active

Practice location

Dept Of Medicine Hsc Level 16 Suny Stony Brook Hospital
Stony Brook, NY 11794-0001

Fax (631) 444-2493

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 1730742966

Robin P. Jacob's National Provider Identifier is 1730742966, issued on Apr 14, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Apr 14, 2019.