Individual
DR. JERYL-LYNNE JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
21 2ND ST, STATEN ISLAND, NY 10306-2203
(719) 987-0735
(719) 979-4669
Mailing address
21 2ND ST, STATEN ISLAND, NY 10306-2203
(719) 987-0735
(719) 979-4669
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2964
NY
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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