Organization · Type 2 NPI
Jacob Jacoby MD
Multi-Specialty Clinic/Center · Suffern, NY
NPI number
1790347243
Active
Practice location
100 Route 59 Ste 103
Suffern, NY 10901-4927
Fax (718) 362-1651
Mailing address
612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
4 other providers at this address
- Jacob H Jacoby Medical PCClinical Child & Adolescent Psychologist Suffern, NY NPI 1316597008
- Daphnee Fromentin-Royster, LMSWClinical Social Worker Suffern, NY NPI 1083285951
- Maureen A. Towey, LMSWClinical Social Worker Suffern, NY NPI 1609459767
- Rachel Berger, MSWClinical Social Worker Suffern, NY NPI 1376133967
About NPI 1790347243
Jacob Jacoby MD's National Provider Identifier is 1790347243, issued on Jul 5, 2019. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Suffern, NY. The record was last updated on Jul 5, 2019.