Individual
DR. JOAN LAURIE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.,C.D.N.
Contact information
Practice address
19305 NERO AVE, HOLLIS, NY 11423-1153
(718) 465-1281
(718) 740-0339
Mailing address
19305 NERO AVE, HOLLIS, NY 11423-1153
(718) 465-1261
(718) 740-0339
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X002791-1
NY
Other
Enumeration date
02/03/2007
Last updated
08/26/2019
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