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SHANE JACOB, PA
PA
Physician Assistant
NPI: 1609484468IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
025732(NY)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 7901 BROADWAY
ELMHURST, NY 11373 - Phone
- (718) 334-2480
Quick Facts
- NPI
- 1609484468
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 6
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