Provider Demographics
NPI:1780833491
Name:JACOBS, HELENE RENEE (MD)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:RENEE
Last Name:JACOBS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:171 E 62ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7605
Mailing Address - Country:US
Mailing Address - Phone:914-300-3550
Mailing Address - Fax:914-222-8311
Practice Address - Street 1:171 E 62ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7605
Practice Address - Country:US
Practice Address - Phone:914-300-3550
Practice Address - Fax:914-222-8311
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1820542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry