| Doctor Name: | DR. WILLIAM JACOBOWITZ |
| NPI Number: | 1114216520 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN., R.N., EDD |
| License Number: | 339849-1 |
| Business Practice Address: | 34 Patricia Ln Syosset, NY - 117915824 |
| Business Phone Number: | 5169743311 |
| Business Fax Number: | |
| Mailing Address: | 34 Patricia Lane, SYOSSET |
| State: | NY |
| Postal Code: | 11791 |
| Phone Number: | 5169743311 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2011 |
| NPI Last Update Date: | 10/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 339849-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |