Jacob H Jacoby Medical Pc

LBN: Jacob H Jacoby Medical Pc
Jacob H Jacoby Medical Pc is an health care organization with primary practice located at 100 Route 59 Ste 103 , Suffern NY 10901-4927. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty. Jacob H Jacoby Medical Pc can be contacted via phone (845) 697-0000, or through Jacoby, Jacob via phone (845) 697-0000.

Contact Information

Primary practice address
100 Route 59 Ste 103 Suffern NY 10901-4927
Phone: (845) 697-0000
Fax: (718) 387-6429
Website:
Map and Directions
Authorized official contact:
Name: Jacoby, Jacob Doctor of Medicine (MD)
Phone: (845) 697-0000

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Family 103TF0000X

Profile Details

NPI number 1316597008
LBN Legal business name Jacob H Jacoby Medical Pc
DBA Doing business as
Authorized official Jacoby, Jacob Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2019
Last updated Sep 16th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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