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Individual

DR. JILL A. JACOBSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
525 E 68TH ST, BOX140, NEW YORK, NY 10021-4870
(212) 746-3763
(212) 746-8520
Mailing address
525 E 68TH ST, BOX140, NEW YORK, NY 10021-4870
(212) 746-3763
(212) 746-8520

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
212197
NY

Other

Enumeration date
06/06/2006
Last updated
07/08/2007
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