National Provider Identifier

Jacob Allen Zukoski

Jacob Allen Zukoski is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in West Henrietta, NY and a listed phone number of (585) 683-4826.

NPI 1861821969West Henrietta, NYLicensed Practical Nurse

Profile Overview

NPI
1861821969
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 08, 2013
Last Updated
November 08, 2013

Practice Location

  • 75 Cave Holw
  • West Henrietta, NY 14586-9568

Phone: (585) 683-4826

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1861821969
Entity Type
Individual
Last Name
Zukoski
First Name
Jacob
Middle Name
Allen
Name Prefix
Mr.
Mailing Street Address
75 Cave Holw
Mailing City
West Henrietta
Mailing State
NY
Mailing ZIP Code
14586-9568
Mailing Country
US
Mailing Phone
(585) 683-4826
Practice Street Address
75 Cave Holw
Practice City
West Henrietta
Practice State
NY
Practice ZIP Code
14586-9568
Practice Country
US
Practice Phone
(585) 683-4826
Enumeration Date
November 08, 2013
Last Updated
November 08, 2013
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)