Individual
PROF. CARL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP D.SC.
Contact information
Practice address
17 W 9TH ST, 1F, NEW YORK, NY 10011-8936
(212) 243-5816
Mailing address
17 W 9TH ST, 1F, NEW YORK, NY 10011-8936
(212) 243-5816
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000028-1
NY
Other
Enumeration date
03/04/2007
Last updated
04/14/2009
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