Individual provider · Type 1 NPI
Jeryl-Lynne Jacob, DC
Chiropractor · Staten Island, NY
NPI number
1477637478
Active
Practice location
21 2nd St
Staten Island, NY 10306-2203
Fax (719) 979-4669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X2964 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1477637478
Jeryl-Lynne Jacob, DC's National Provider Identifier is 1477637478, issued on Oct 25, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 8, 2007.