Individual
DR. MATHEW JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D
Contact information
Practice address
200 EAST 33RD STREET, SUITE 31J, NY, NY 10016
(914) 946-4700
(914) 285-5723
Mailing address
200 EAST 33RD STREET, SUITE 31J, NY, NY 10016
(914) 946-4700
(914) 285-5723
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014786-1
NY
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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