| John Eric Jacoby, MD | |
|
466 Main Street, New Rochelle, NY 10801 | |
| (914) 633-1020 | |
| (914) 633-3235 |
| Full Name | John Eric Jacoby |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 466 Main Street, New Rochelle, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790853778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 109045 (New York) | Primary |
| Entity Name | Century Medical & Dental Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144399098 PECOS PAC ID: 8729070669 Enrollment ID: O20040331001710 |
| Entity Name | John Eric Jacoby, Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972892529 PECOS PAC ID: 4183808462 Enrollment ID: O20110411000741 |
| Mailing Address | Practice Location Address |
|---|---|
| John Eric Jacoby, MD 466 Main Street, New Rochelle, NY 10801 Ph: (914) 633-1020 | John Eric Jacoby, MD 466 Main Street, New Rochelle, NY 10801 Ph: (914) 633-1020 |
Jordan Vanlare, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 460 Beechmont Dr, New Rochelle, NY 10804 Phone: 914-200-3782 | |
Dr. Ralph B Essien, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 25 Coligni Ave, New Rochelle, NY 10801 Phone: 914-636-1967 Fax: 914-636-6083 | |
Ali Haghighatian, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 676 Pelham Rd, New Rochelle, NY 10805 Phone: 914-632-9600 |