Individual
DR. AMANDA MCNEAR JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, DEPARTMENT OF PEDIATRICS, BRONX, NY 10467-2401
(718) 920-2306
Mailing address
111 E. 211 ST, BRONX, NY 10467
(718) 920-2306
(718) 920-5289
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
218283
NY
Other
Enumeration date
07/23/2007
Last updated
10/12/2011
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