AMANDA M JACOBS — Medicare Enrolled Provider (PRACTITIONER - PEDIATRIC MEDICINE, NY)
AMANDA M JACOBS — Medicare Enrolled Provider (PRACTITIONER - PEDIATRIC MEDICINE, NY) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: AMANDA M JACOBS; Type: Individual; NPI: 1003016411.
| Name | AMANDA M JACOBS |
|---|---|
| Type | Individual |
| NPI | 1003016411 |
| Provider type | PRACTITIONER - PEDIATRIC MEDICINE |
| State | NY |
| Enrollment ID | I20071011000584 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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