National Provider Identifier
Daniel R Jacobson, M.D.
Daniel R Jacobson, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Williamsville, NY and a listed phone number of (716) 836-4646.
Profile Overview
- NPI
- 1710956859
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- March 14, 2006
- Last Updated
- August 21, 2023
Practice Location
- 111 N Maplemere RD Ste 120
- Williamsville, NY 14221-3178
Phone: (716) 836-4646
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1710956859
- Entity Type
- Individual
- Last Name
- Jacobson
- First Name
- Daniel
- Middle Name
- R
- Credential
- M.D.
- Mailing Street Address
- 111 N Maplemere RD Ste 120
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3178
- Mailing Country
- US
- Mailing Phone
- (716) 836-4646
- Mailing Fax
- (716) 836-4696
- Practice Street Address
- 111 N Maplemere RD Ste 120
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3178
- Practice Country
- US
- Practice Phone
- (716) 836-4646
- Practice Fax
- (716) 836-4696
- Enumeration Date
- March 14, 2006
- Last Updated
- August 21, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 21, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 01563859 (NY)