Individual
BERNARD J JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 MCMAHON PL, MAHOPAC, NY 10541-1700
(845) 628-9595
(845) 628-9597
Mailing address
10 MCMAHON PL, MAHOPAC, NY 10541-1700
(845) 628-9595
(845) 628-9597
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
100245
NY
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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