Adam Jacobson LCSW, MSOD

NPI 1174654107 - Social Worker - 1041C0700X

NPI Details
NPI 1174654107
Gender Male
Enumeration Date 03/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
158 W 81ST ST
SUITE # 51
NEW YORK NY, 10024-5954, US
Phone (212) 875-1867
Fax (212) 875-1867
Business Location
158 W 81ST ST
SUITE # 51
NEW YORK NY, 10024-5954, US
Phone (212) 875-1867
Fax (212) 875-1867
Toxanomy
Taxonomy Code 1041C0700X
License State
License Number
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According to our database, Adam Jacobson LCSW, MSOD NPI is 1174654107, taxonomy code is 1041C0700X Adam Jacobson LCSW, MSOD physically located at 158 W 81st St, New York NY, 10024-5954. NPI Number Adam Jacobson LCSW, MSOD has the Individual type.

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1174654107 NPI number is provided on an as is basis without warranty of any kind. 1174654107 is maintained by the National Plan & Provider Enumeration System. The contents of Adam Jacobson LCSW, MSOD are for informational purposes only.