National Provider Identifier

Jeffrey Michael Jacobson, M.D.

Jeffrey Michael Jacobson, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Hornell, NY and a listed phone number of (607) 324-8255.

NPI 1861446874Hornell, NYDiagnostic Radiology Physician

Profile Overview

NPI
1861446874
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
May 22, 2006
Last Updated
February 19, 2026

Practice Location

  • 411 Canisteo St
  • Hornell, NY 14843-2104

Phone: (607) 324-8255

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
  • Diagnostic Radiology Physician (2085R0202X)
Full Record
NPI
1861446874
Entity Type
Individual
Last Name
Jacobson
First Name
Jeffrey
Middle Name
Michael
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
411 Canisteo St
Mailing City
Hornell
Mailing State
NY
Mailing ZIP Code
14843-2104
Mailing Country
US
Mailing Phone
(607) 324-8255
Mailing Fax
(607) 324-8774
Practice Street Address
411 Canisteo St
Practice City
Hornell
Practice State
NY
Practice ZIP Code
14843-2104
Practice Country
US
Practice Phone
(607) 324-8255
Practice Fax
(607) 324-8774
Enumeration Date
May 22, 2006
Last Updated
February 19, 2026
Sex
Male
Sole Proprietor
No
Certification Date
February 19, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X), Diagnostic Radiology Physician (2085R0202X)
Other Identifiers
000929320001 (NY, Healthnow), 198781 (NY, Great West License #), 01718249 (NY), 10820256 (NY, Caqh), 178209FF (NY, Preferred Care), 7226804 (NY, Aetna)