NPI 1003016411

Amanda McNear Jacobs, MD

Practitioner Pediatric Adolescent Medicine Physician Bronx, NY

Practice location

Address: 111 E 210th St Department of Pediatrics, Bronx, NY 10467-2401
Phone: (718) 920-2306
Mailing address: 111 E. 211 St, Bronx, NY 10467

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 218283 (NY)

Other Pediatrics providers in New York →

Registry record

NPI: 1003016411
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2007
Record last updated: 12 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.