Individual
DR. LYNNE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
930 PARK AVE, NEW YORK, NY 10028-0209
(212) 734-5496
(212) 734-8374
Mailing address
930 PARK AVE, NEW YORK, NY 10028-0209
(212) 734-5496
(212) 734-8374
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
170160
NY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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