Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Russell Jacobson, PHD

Individual provider Local Education Agency (LEA) · NPI 1508992173

Dr. John Russell Jacobson, PHD is a Local Education Agency (LEA) in East Northport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

14 Acorn Dr
East Northport, NY 11731-1302
Phone: (631) 754-5892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Local Education Agency (LEA) (primary) Taxonomy 251300000X · Licence 008596-1 (NY)

Record details

NPI number1508992173
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 9, 2007

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