Most Relevant Information
Provider Data
| NPI Number: | 1003016411 |
| Provider Name: | AMANDA MCNEAR JACOBS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2080A0000X |
| Specialty: | Pediatrics |
| License Number: | 218283 |
Most Important Dates
| Enumeration Date: | 07/23/2007 |
| Last Updated: | 10/12/2011 |
Provider Practice Location
111 E 210TH ST
DEPARTMENT OF PEDIATRICS
BRONX
NY
104672401
Practice Location Phone/Fax
| Phone: | 7189202306 |
| Fax: |
Provider Mailing Location
111 E. 211 ST
BRONX
NY
10467
Provider Mailing Phone/Fax
| Phone: | 7189202306 |
| Fax: | 7189205289 |