Jeffrey Jacobsen
Jeffrey Jacobsen is a Driver in West Sand Lake, New York. Licensed in New York. Registered with an NPI since 2016.
- Licensed in
- NY
- In the registry since
- 2016
Practice location Address checks out
1007 Chamberlin Hill Rd ExtWest Sand Lake, NY 12196-2818
Phone: (518) 300-9662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 525239035 (NY) |
|---|
Record details
| NPI number | 1710349865 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 27, 2016 |
| Last updated in NPPES | March 27, 2016 |
| Mailing address | 1007 Chamberlin Hill Rd Ext, West Sand Lake, NY 12196-2818 |