Individual
CARMEN JACOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 EAST 62ND STREET, NEW YORK, NY 10065
(212) 752-7575
Mailing address
1833 AMSTERDAM AVENUE, NEW YORK, NY 10031
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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