Individual
CHRISTINE JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 MAMARONECK AVE STE 130, WHITE PLAINS, NY 10605-5222
(914) 328-2868
Mailing address
1311 MAMARONECK AVE STE 130, WHITE PLAINS, NY 10605-5222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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