Organization
SUSANNAH JACOBI, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSANNAH GILLE JACOBI PH.D. (PRESIDENT)
(646) 290-8404
Entity
Organization
Contact information
Practice address
59 W 12TH ST, SUITE 1E, NEW YORK, NY 10011-8563
(646) 290-8404
Mailing address
59 W 12TH ST, SUITE 1E, NEW YORK, NY 10011-8563
(646) 290-8404
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
015752
NY
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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