Jeremy Jacob
Jeremy Jacob is a Student in an Organized Health Care Education/Training Program in Syosset, New York. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
6851 Jericho Tpke Ste 125Syosset, NY 11791-4454
Phone: (516) 780-0111
Fax: (516) 441-1099
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1174413934 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 3, 2025 |
| Last updated in NPPES | July 3, 2025 |
| Certification date | July 3, 2025 |
| Mailing address | 21 Wallace Dr, Plainview, NY 11803-2926 |
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Kristen Nicole Pittaro
6851 Jericho Tpke Ste 125, Syosset, NY 11791-4454 · (516) 780-0111