Tom Jacob, DO Valid NPI

Individual provider · Geriatric Psychiatry Physician · Rochester, NY

NPI

1629464623

Type

Individual (Type 1)

Primary specialty

Geriatric Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0805X

License number

296407 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2015-04-07

Last updated

2023-06-28