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Contact Information

ROBERT JACOBSON SURGICAL PHARMACY INC.
359 EAST MAIN STREET
MOUNT KISCO, NY10549
 Phone: 914-241-4887
 Fax: 914-241-7041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ROBERT JACOBSON SURGICAL PHARMACY INC.

NPI Number 1568564979
LBN Legal business name ROBERT JACOBSON SURGICAL PHARMACY INC.
Authorized official ABRAAM GERGIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2006
Last updated 04/07/2021 - About 5 years ago
Identifiers
NY License # 017043
NY Medicaid 00570076
Other 3371159 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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