| Jacob H Jacoby Medical Pc | |
|
100 Route 59 Ste 103 Suffern NY 10901-4927 | |
| (845) 697-0000 | |
| (718) 387-6429 |
| Full Name | Jacob H Jacoby Medical Pc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 100 Route 59 Ste 103, Suffern, New York |
| Authorized Official Name and Position | Jacob Jacoby (CEO) |
| Authorized Official Contact | 8456970000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob H Jacoby Medical Pc 100 Route 59 Ste 103 Suffern NY 10901-4927 Ph: (845) 697-0000 | Jacob H Jacoby Medical Pc 100 Route 59 Ste 103 Suffern NY 10901-4927 Ph: (845) 697-0000 |
| NPI Number | 1316597008 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 09/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316597008 | NPI | - | NPPES |
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