Individual
JACOB ETHAN SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
286 MADISON AVENUE, SUITE 1602, NEW YORK, NY 10017
(917) 704-3761
Mailing address
286 MADISON AVENUE, SUITE 1602, NEW YORK, NY 10017
(917) 704-3761
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0156821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02567971
—
NY
Enumeration date
07/18/2006
Last updated
04/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us