Individual
DR. ELISHEVA JAKOBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
222 NY-59, SUFFERN, NY 10901
(845) 535-9499
Mailing address
36 RED ROCK RD, NEW CITY, NY 10956-2106
(845) 535-9499
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025672
NY
Other
Enumeration date
05/01/2023
Last updated
07/03/2023
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