Individual
ISAMAL JACOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 UTICA AVE, BROOKLYN, NY 11213-3931
(718) 925-2009
Mailing address
250 UTICA AVE, BROOKLYN, NY 11213-3931
(718) 925-2009
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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