Individual
AMY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 E 40TH ST, PATERSON, NJ 07514-1108
(973) 417-2889
(862) 264-1399
Mailing address
2 E 40TH ST, PATERSON, NJ 07514-1108
(973) 417-2889
(862) 264-1399
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
NJ
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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