Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1104435262 |
---|---|
Provider Name | Dr. Eva Yacobi |
First Address | Englewood, NJ 07631-5120 |
Second Address | Englewood, NJ 07631-5120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2020 |
Last Update Date | 24/07/2020 |