Provider Demographics
NPI:1881204626
Name:BEST, JACOB (MS, GCG)
Entity Type:Individual
Prefix:MR
First Name:JACOB
Middle Name:
Last Name:BEST
Suffix:
Gender:M
Credentials:MS, GCG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 64TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4753
Mailing Address - Country:US
Mailing Address - Phone:718-765-2547
Mailing Address - Fax:718-635-5921
Practice Address - Street 1:745 64TH ST STE 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4753
Practice Address - Country:US
Practice Address - Phone:718-765-2547
Practice Address - Fax:718-635-5921
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS