Provider Demographics
NPI:1184998874
Name:JACOBI MEDICAL CENTER
Entity type:Organization
Organization Name:JACOBI MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:EI
Authorized Official - Middle Name:E
Authorized Official - Last Name:PHYU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-918-5000
Mailing Address - Street 1:1400 PELHAM PKWY,
Mailing Address - Street 2:INTERNAL MEDICINE DEPT
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1400 PELHAM PKWY,
Practice Address - Street 2:INTERNAL MEDICINE DEPT
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-918-5000
Practice Address - Fax:718-918-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural