National Provider Identifier
Tom Jacob, DO
Tom Jacob, DO is listed in the NPPES registry with a primary specialty of Geriatric Psychiatry Physician in Rochester, NY and a listed phone number of (585) 602-1000.
Profile Overview
- NPI
- 1629464623
- Provider Type
- Individual
- Primary Specialty
- Geriatric Psychiatry Physician
- Enumeration Date
- April 07, 2015
- Last Updated
- June 28, 2023
Practice Location
- 315 Science Parkway
- Rochester, NY 14620
Phone: (585) 602-1000
Specialties
- Geriatric Psychiatry Physician (2084P0805X)
- Hospitalist Physician (208M00000X)
- Student In An Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1629464623
- Entity Type
- Individual
- Last Name
- Jacob
- First Name
- Tom
- Credential
- DO
- Mailing Street Address
- 315 Science Parkway
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620
- Mailing Country
- US
- Mailing Phone
- (585) 602-1000
- Practice Street Address
- 315 Science Parkway
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620
- Practice Country
- US
- Practice Phone
- (585) 602-1000
- Enumeration Date
- April 07, 2015
- Last Updated
- June 28, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 18, 2023
- Taxonomies
- Geriatric Psychiatry Physician (2084P0805X), Hospitalist Physician (208M00000X), Student In An Organized Health Care Education/Training Program (390200000X)