Individual
DR. NINA SARAH JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 W 27TH ST STE 5S, NEW YORK, NY 10001-6208
(833) 351-8255
Mailing address
109 W 27TH ST STE 5S, NEW YORK, NY 10001-0265
(833) 351-8255
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
047468
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
210266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01090019
—
NY
Enumeration date
12/05/2006
Last updated
04/04/2024
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