Individual
CLIFFORD JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
291 W SQUIRE DR APT 5, ROCHESTER, NY 14623-1740
(585) 292-9619
Mailing address
291 W SQUIRE DR APT 5, ROCHESTER, NY 14623-1740
(585) 292-9619
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
135796
NY
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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