Most Relevant Information
Provider Data
| NPI Number: | 1003263179 |
| Provider Name: | ERIKA JACOBSON RD,CDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86049661 |
Most Important Dates
| Enumeration Date: | 05/18/2016 |
| Last Updated: | 05/18/2016 |
Provider Practice Location
1 GUSTAVE L LEVY PL
NEW YORK
NY
100296504
Practice Location Phone/Fax
| Phone: | 9172415633 |
| Fax: |
Provider Mailing Location
1 GUSTAVE L LEVY PL
NEW YORK
NY
100296504
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |