| Doctor Name: | DR. AMANDA MCNEAR JACOBS |
| NPI Number: | 1003016411 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 218283 |
| Business Practice Address: | 111 E 210th St Department Of Pediatrics Bronx, NY - 104672401 |
| Business Phone Number: | 7189202306 |
| Business Fax Number: | |
| Mailing Address: | 111 E. 211 St, BRONX |
| State: | NY |
| Postal Code: | 10467 |
| Phone Number: | 7189202306 |
| Fax Number: | 7189205289 |
| NPI Enumeration Date: | 07/23/2007 |
| NPI Last Update Date: | 10/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | 218283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |