Doctor Name: | DR. RONALD IRWIN JACOBSON |
NPI Number: | 1164519120 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 157834 |
Business Practice Address: | 755 North Broadway Medical Services Building Suite 540 Sleepy Hollow, NY - 10591 |
Business Phone Number: | 9143580190 |
Business Fax Number: | 9143580199 |
Mailing Address: | 755 North Broadway, Medical Services Building Suite 540 SLEEPY HOLLOW |
State: | NY |
Postal Code: | 10591 |
Phone Number: | 9143580190 |
Fax Number: | 9143580199 |
NPI Enumeration Date: | 10/09/2006 |
NPI Last Update Date: | 04/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084N0402X |
License Number: | 157834 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Neurology with Special Qualifications in Child Neurology |
Taxonomy Definition: | A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |