Individual
MR. YEKUCIEL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1955 MCDONALD AVE, BROOKLYN, NY 11223-1805
(718) 787-1600
Mailing address
1147 E 54TH ST, BROOKLYN, NY 11234-2413
(347) 715-0286
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
P127059
NY
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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