Individual
DR. JEROME LEE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
93 OLD FARM ROAD SOUTH, PLEASANTVILLE, NY 10570-1505
(914) 747-0724
(914) 769-7123
Mailing address
93 OLD FARM ROAD SOUTH, PLEASANTVILLE, NY 10570-1505
(914) 747-0724
(914) 769-7123
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
079800
NY
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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