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MS. SUSAN SLOAN JACOBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3030 WESTCHESTER AVE, PURCHASE, NY 10577
(914) 848-8030
(914) 848-8031
Mailing address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
(914) 607-5730
(203) 261-1970

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
003284
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402856
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
NY
Enumeration date
07/07/2006
Last updated
10/18/2019
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