National Provider Identifier

Nadette Jacob, MD

Nadette Jacob, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Honeoye Falls, NY and a listed phone number of (585) 624-2121.

NPI 1588619225Honeoye Falls, NYFamily Medicine Physician

Profile Overview

NPI
1588619225
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
May 23, 2006
Last Updated
October 23, 2007

Practice Location

  • 23 Ontario Street
  • Honeoye Falls, NY 14472

Phone: (585) 624-2121

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1588619225
Entity Type
Individual
Last Name
Jacob
First Name
Nadette
Name Prefix
Dr.
Credential
MD
Mailing Street Address
23 Ontario Street
Mailing City
Honeoye Falls
Mailing State
NY
Mailing ZIP Code
14472
Mailing Country
US
Mailing Phone
(585) 624-2121
Mailing Fax
(585) 624-7283
Practice Street Address
23 Ontario Street
Practice City
Honeoye Falls
Practice State
NY
Practice ZIP Code
14472
Practice Country
US
Practice Phone
(585) 624-2121
Practice Fax
(585) 624-7283
Enumeration Date
May 23, 2006
Last Updated
October 23, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
00677192 (NY), 100895BF (NY, Preferred Care), P010141882 (NY, Blue Choice)