IndividualActive
Michael Jacobs, MD
NPI 1992786313 · Procedural Dermatology Physician · New York, NY
Provider details
- NPI number
- 1992786313
- Entity type
- Individual
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 134716 (NY)
Practice location
407 E 70th St
New York, NY 10021-5302
Phone: (212) 772-7190
Fax: (212) 396-1698
Mailing address
407 E 70th St
New York, NY 10021-5302
Registry dates
- Enumerated
- 2005-11-11
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.