Julie V Jacob NP

NPI # 

Practice Address:

7404 5Th Ave

Brooklyn, NY, 11209-2704

Practice Phone:

718-439-5111

Taxonomy Grouping:

Dietary & Nutritional Service Providers

Taxonomy Classification:

Dietitian, Registered

Taxonomy Code:

133V00000X

Deactivation Date:

2016-10-10T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2017-03-09T00:00:00.000Z