Lori Diamond Jacobs, M.S.ED

NPI #1003177882 in Brooklyn, New York

Provider Information

NPI Number: 1003177882
Entity Type: Individual
Name: Lori Diamond Jacobs, M.S.ED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.S.ED
Enumeration Date: Jun 7, 2012
Last Updated: Jun 7, 2012

Practice Location

Address: 420 95TH ST
City: Brooklyn
State: New York
ZIP Code: 11209-7404
Phone: (718) 680-9751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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