IndividualActive
Jacob Deubler, PA-C
NPI 1720760218 · Trauma Surgery Physician · Patchogue, NY
Provider details
- NPI number
- 1720760218
- Entity type
- Individual
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 031046 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
101 Hospital Rd
Patchogue, NY 11772-4870
Phone: (540) 287-6371
Approximate (ZIP-level) locationGet directions
Mailing address
14 Wall St Fl 9
New York, NY 10005-2178
Registry dates
- Enumerated
- 2023-08-03
- Last updated
- 2024-02-15
- Certified
- 2024-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.