Individual
MS. KIRSY JACOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS BIL. SPEC. ED
Contact information
Practice address
328 E 62ND ST, NEW YORK, NY 10065-8206
(212) 752-7575
Mailing address
14 LANCASTER CT, NANUET, NY 10954-3849
(845) 290-6477
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
12/31/2011
Last updated
12/31/2011
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