Individual
JEFFREY H JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2039 PALMER AVE STE 203, LARCHMONT, NY 10538-2483
(212) 812-0788
Mailing address
29 CAPE MAY DR, MARLBORO, NJ 07746-2618
(212) 812-0788
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000683-1
NY
Other
Enumeration date
01/25/2012
Last updated
06/30/2022
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