Individual
ANTOINETTE H JAKOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 OFFICE PARK WAY, TOBEY VILLAGE OFFICE PARK, PITTSFORD, NY 14534-1728
(585) 586-5600
(585) 586-5512
Mailing address
601 ELMWOOD AVE, BOX: PSYCH, ROCHESTER, NY 14642-0001
(585) 586-5600
(585) 276-0161
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
193541
NY
2084P0804X
Child & Adolescent Psychiatry Physician
1935411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01659154
—
NY
01
—
101487EW
PREFERRED CARE
NY
01
—
P010193541
EXCELLUS BLUE CROSS BLUE
NY
Enumeration date
07/10/2006
Last updated
07/05/2023
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