Individual provider · Type 1 NPI

Jacqueline Grace Bober, DO

Student in an Organized Health Care Education/Training Program · West Islip, NY

NPI number 1982916870 Active

Practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

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 1982916870

Jacqueline Grace Bober, DO's National Provider Identifier is 1982916870, issued on Jul 8, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Islip, NY. The record was last updated on Jul 20, 2012.