Lookup NPI Numbers from the NPI Registry
NPI Profile for JUDD JACOB in YONKERS, NY.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI # | 1407152333 |
|
| Status | Active | |
| Credentials | PT, CLS | |
| Entity | Individual | |
| Enumeration date | 02/10/2011 | |
| Last updated | 04/13/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JUDD JACOB
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JUDD JACOB, PT, CLS