Individual provider · Type 1 NPI

Trian John Jacob, PA-C

Medical Physician Assistant · Brooklyn, NY

NPI number 1962579441 Active

Practice location

760 Broadway
Brooklyn, NY 11206-5317

Call (718) 963-5951 Map

Fax (718) 963-6893

Mailing address

1642 E 23rd St
Brooklyn, NY 11229-1519

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X006020 (NY)

Medical Physician Assistant: Definition to come...

798 other providers at this address

Other medical physician assistant providers in Brooklyn

See all in Brooklyn →

About NPI 1962579441

Trian John Jacob, PA-C's National Provider Identifier is 1962579441, issued on Nov 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.