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Individual

DR. JACOB WEBBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(833) 351-8255
(888) 815-3583
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(833) 351-8255
(888) 815-3583

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
316670
NY
2084P0800X
Psychiatry Physician
Primary
316670
NY
2084P0802X
Addiction Psychiatry Physician
316670
NY
390200000X
Student in an Organized Health Care Education/Training Program
R4153
NH

Other

Enumeration date
03/19/2019
Last updated
02/03/2026
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