Individual
JOHN ERIC JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
466 MAIN STREET, NEW ROCHELLE, NY 10801
(914) 633-1020
(914) 633-3235
Mailing address
466 MAIN STREET, NEW ROCHELLE, NY 10801
(914) 633-1020
(914) 633-3235
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
109045
NY
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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