Jacobs, Carolyn Yvette
Jacobs, Carolyn Yvette is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jacobs, Carolyn Yvette can be contacted via phone (585) 922-2575.Contact Information
Primary practice address
1425 Portland Ave
Rochester NY 14621-3001
Phone: (585) 922-2575
Fax: (585) 922-5033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 225602 | New York |
Profile Details
| NPI number | 1306825575 |
|---|---|
| LBN Legal business name | Jacobs, Carolyn Yvette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Mar 23rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306825575 | NPPES |
| New York | MEDICAID | 02688306 |
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