SUSANNAH JACOBI PH.D. P.C. NPI 1215111661

NPI Information

SUSANNAH JACOBI, PH.D., P.C. is an adult mental health clinic center in New York, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SUSANNAH JACOBI, PH.D., P.C. NPI is 1215111661. The provider is registered as an organization entity type.

The provider's business location address is:

59 W 12TH ST
SUITE 1E
NEW YORK, NY
ZIP 10011-563
Phone: (646) 290-8404

The provider's authorized official is Susannah Gille Jacobi .
The authorized official title is President and has the following contact phone number (646) 290-8404.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 12/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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