Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 011379 | NY |
N | 111NN1001X | Nutrition | 011379 | NY |
NPI | 1528288982 |
---|---|
Provider Name | Dr. Jodi L'amour Jacobs |
First Address | Yonkers, NY 10703-2600 |
Second Address | Yonkers, NY 10704-1092 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 17/03/2018 |