National Provider Identifier
Carolyn Yvette Jacobs, MD
Carolyn Yvette Jacobs, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 922-2575.
Profile Overview
- NPI
- 1306825575
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- January 16, 2006
- Last Updated
- March 23, 2023
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-2575
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1306825575
- Entity Type
- Individual
- Last Name
- Jacobs
- First Name
- Carolyn
- Middle Name
- Yvette
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-2575
- Mailing Fax
- (585) 922-5033
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-2575
- Practice Fax
- (585) 922-5033
- Enumeration Date
- January 16, 2006
- Last Updated
- March 23, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 23, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 02688306 (NY)