| Doctor Name: | DR. DAVID SAMUEL JACOBS |
| NPI Number: | 1154302537 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35-061126 |
| Business Practice Address: | 300 Westage Business Ctr Dr Suite 280 Fishkill, NY - 125242260 |
| Business Phone Number: | 8008353723 |
| Business Fax Number: | 8888470818 |
| Mailing Address: | 300 Westage Business Ctr Dr, Suite 280 FISHKILL |
| State: | NY |
| Postal Code: | 125242260 |
| Phone Number: | 8008353723 |
| Fax Number: | 8888470818 |
| NPI Enumeration Date: | 11/11/2005 |
| NPI Last Update Date: | 09/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085N0700X |
| License Number: | 35-061126 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Neuroradiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |