Individual
DR. STACY LYNN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
233 E 69TH ST, APT 8B, NEW YORK, NY 10021-5414
(212) 517-5406
(212) 535-1564
Mailing address
233 E 69TH ST, APT 8B, NEW YORK, NY 10021-5414
(212) 517-5406
(212) 535-1564
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
225209
NY
Other
Enumeration date
07/24/2007
Last updated
05/01/2014
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