Individual
DR. LAWRENCE BRUCE JACOBSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 E 63RD ST, NEW YORK, NY 10021-7660
(212) 371-5201
Mailing address
220 E 63RD ST, NEW YORK, NY 10065-7660
(212) 371-5201
(212) 371-5159
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
151142
NY
Other
Enumeration date
11/15/2005
Last updated
03/05/2011
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