National Provider Identifier
Marc Jacobson, PA
Marc Jacobson, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Canandaigua, NY and a listed phone number of (585) 394-1960.
Profile Overview
- NPI
- 1588329452
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- November 04, 2021
- Last Updated
- March 11, 2022
Practice Location
- 229 Parrish St Ste 100
- Canandaigua, NY 14424-1791
Phone: (585) 394-1960
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1588329452
- Entity Type
- Individual
- Last Name
- Jacobson
- First Name
- Marc
- Credential
- PA
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 394-1960
- Mailing Fax
- (585) 393-9232
- Practice Street Address
- 229 Parrish St Ste 100
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1791
- Practice Country
- US
- Practice Phone
- (585) 394-1960
- Practice Fax
- (585) 393-9232
- Enumeration Date
- November 04, 2021
- Last Updated
- March 11, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)