SUSANNAH JACOBI, PH.D., P.C.
Ambulatory Health at 12 St, New York, NY

License number
New York 015752
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. SUSANNAH GILLE JACOBI PH.D.
Title: PRESIDENT
Phone: (646) 290-8404
Address
Address
59 W 12Th St SUITE 1E, New York, NY 10011
National Provider ID: 1215111661
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Susannah Jacobi, PH.D., PC

59 W 12 St, New York, NY 10011

Industry:
Health Practitioner's Office
President, Principal:
Susannah G. Jacobi (President, Principal)

SUSANNAH JACOBI, PH.D., PC

70 Lasalle St / SUITE 14C, New York, NY 10027

Registration:
May 22, 2007
State ID:
3520600
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Susannah Jacobi, 70 Lasalle St / APT 14C, New York, NY 10027 (Physical)

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